MRS. Jenny Vivian Hawthorne

NPI #1376055004 in O Fallon, Missouri

Provider Information

NPI Number
1376055004
Entity Type
Individual
Name
MRS. Jenny Vivian Hawthorne
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Nov 3, 2017
Last Updated
Dec 16, 2024

Practice Location

Address
8600 MEXICO RD
ZIP Code
63366-7507
Phone
(636) 202-0721

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner - FamilyFamily

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