Individual provider · Type 1 NPI

Ashley Brooke Hackworth, MEDICAL STUDENT

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1063164622 Active

Practice location

1348 SW 2nd Ct
Fort Lauderdale, FL 33312-7593

Call (636) 357-6719 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063164622

Ashley Brooke Hackworth, MEDICAL STUDENT's National Provider Identifier is 1063164622, issued on Jan 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jan 24, 2022.