Provider Demographics
NPI:1003460361
Name:HAWKINS, CHELSEA JEAN (NP-C)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:JEAN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-4807
Mailing Address - Country:US
Mailing Address - Phone:469-682-8625
Mailing Address - Fax:
Practice Address - Street 1:4425 W AIRPORT FWY STE 450
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-5848
Practice Address - Country:US
Practice Address - Phone:469-726-4402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142035363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily