Jennifer Lynn Hawkins, | |
519 Licking Pike, Wilder, KY 41071-2912 | |
(859) 572-0400 | |
Not Available |
Full Name | Jennifer Lynn Hawkins |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 519 Licking Pike, Wilder, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194426742 | NPI | - | NPPES |
7100929270 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3018762 (Kentucky) | Primary |
Entity Name | Mindlift Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013676345 PECOS PAC ID: 1355795840 Enrollment ID: O20231003001149 |
Mailing Address | Practice Location Address |
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Jennifer Lynn Hawkins, 519 Licking Pike, Wilder, KY 41071-2912 Ph: (859) 572-0400 | Jennifer Lynn Hawkins, 519 Licking Pike, Wilder, KY 41071-2912 Ph: (859) 572-0400 |
Nichole B Haley, MSN, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1016 Town Drive, Wilder, KY 41076 Phone: 859-441-7600 Fax: 859-441-7144 | |
Mrs. Kimberly Michelle Witte, ARNP CS BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 519 Licking Pike, Wilder, KY 41071 Phone: 859-572-0400 Fax: 859-442-3363 | |
Mrs. Lonna Louise Larger, MSN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 519 Licking Pike, Wilder, KY 41071 Phone: 859-572-0400 Fax: 859-442-3363 |