Provider Demographics
NPI:1275946162
Name:HAWLEY, JAMES (NP-C)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:HAWLEY
Suffix:
Gender:M
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 1:178 HIGHWAY 24 STE A
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39631-4217
Mailing Address - Country:US
Mailing Address - Phone:601-890-0520
Mailing Address - Fax:601-645-5088
Practice Address - Street 1:178 HIGHWAY 24 STE A
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:MS
Practice Address - Zip Code:39631-4217
Practice Address - Country:US
Practice Address - Phone:601-890-0520
Practice Address - Fax:601-645-5088
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR879421363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily