Jenny Vivian Hawthorne Valid NPI

Individual provider · Family Nurse Practitioner · O Fallon, MO

NPI

1376055004

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

20180009355 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2017-11-03

Last updated

2024-12-16