OLIVIA DEESE HAWTHORNE NPI 1376204214

NPI Information

  • NPI: 1376204214
  • Provider Name: OLIVIA DEESE HAWTHORNE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6200 SUMMER PLACE DR N
    MOBILE, AL
    ZIP 36618
  • Phone: (251) 461-0786

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NPI Details

Olivia Deese Hawthorne is a family nurse practitioner in Mobile, AL with 9 years of experience. Olivia Deese Hawthorne NPI is 1376204214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6200 SUMMER PLACE DR N
MOBILE, AL
ZIP 36618-247
Phone: (251) 461-0786

The NPI 1376204214 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/3/2022 and was last updated on 1/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyF07210819ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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