Provider Demographics
NPI:1396225785
Name:HAWKINS, LINDA KAY (LVN)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:KAY
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 TANGLEBERRY DR APT 17
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75961-4664
Mailing Address - Country:US
Mailing Address - Phone:936-205-0293
Mailing Address - Fax:
Practice Address - Street 1:528 TANGLEBERRY DR APT 17
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-4664
Practice Address - Country:US
Practice Address - Phone:936-205-0293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX132553164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse