Provider Demographics
NPI:1275631798
Name:HAWKINS, ASHLEY K (CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:K
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 CENTRAL AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2506
Mailing Address - Country:US
Mailing Address - Phone:205-933-5599
Mailing Address - Fax:205-930-2611
Practice Address - Street 1:2908 CENTRAL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-2506
Practice Address - Country:US
Practice Address - Phone:205-933-5599
Practice Address - Fax:205-930-2611
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-081361363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51536097OtherBLUE CROSS BLUE SHIELD