Individual provider · Type 1 NPI

Tiffany Hawthorne

Psychiatric/Mental Health Nurse Practitioner · Milwaukee, WI

NPI number 1063231900 Active

Practice location

5000 W Chambers St
Milwaukee, WI 53210-1650

Mailing address

9025 S Marshfield Ave
Chicago, IL 60620-5546

Other practice locations

  • 9025 S Marshfield Ave, Chicago, IL 60620-5546 · (773) 654-8112

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X041478292 (IL)
Nurse Practitioner 363L00000X18818 (WI)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209.030813 (IL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X18818 (WI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063231900

Tiffany Hawthorne's National Provider Identifier is 1063231900, issued on Oct 8, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 16, 2026.