Individual provider · Type 1 NPI

Jackie Lynn Hawkinson, SPTA

Student in an Organized Health Care Education/Training Program · St. Louis Park, MN

NPI number 1578801346 Active

Practice location

6008 Goodrich Ave
St. Louis Park, MN 55416-2425

Call (612) 578-0502 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XG087026331215 (MN)

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 1578801346

Jackie Lynn Hawkinson, SPTA's National Provider Identifier is 1578801346, issued on Jan 29, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jan 29, 2013.