Individual provider · Type 1 NPI

Lacey Ann Hackworth-Rothwell, FNP

Nurse Practitioner · Texarkana, TX

NPI number 1740046077 Active

Practice location

5002 Cowhorn Creek Road
Texarkana, TX 75503

Fax (903) 614-3525

Mailing address

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X53-82956 (KS)
Nurse Practitioner Primary 363L00000X1187990 (TX)
Nurse Practitioner 363L00000X2024007853 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1740046077

Lacey Ann Hackworth-Rothwell, FNP's National Provider Identifier is 1740046077, issued on Feb 23, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Texarkana, TX. The record was last updated on Jul 8, 2026.