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JENNIFER BOOZE-HAWKES FNP-C, MSN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1528421971

Individual Registrant:
 JENNIFER  BOOZE-HAWKES FNP-C, MSN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1510 E WAGON WHEEL LN  FORT MOHAVE, AZ 86426-6697 US
Tel: 928-788-3333  Fax: --

Contact information for business:
4947 S CALLE DEL MEDIA  FORT MOHAVE, AZ 86426-6595 US
Tel: --  Fax: --

Registration Information:
NPI: 1528421971
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AZAP8599

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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