JACKIE LYNN HAWKINSON SPTA NPI 1578801346

NPI Information

  • NPI: 1578801346
  • Provider Name: JACKIE LYNN HAWKINSON, SPTA
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 6008 GOODRICH AVE
    SAINT LOUIS PARK, MN
    ZIP 55416
  • Phone: (612) 578-0502

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NPI Details

Jackie Lynn Hawkinson, SPTA is a student in an organized health care education training program in Saint Louis Park, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jackie Lynn Hawkinson, SPTA NPI is 1578801346. 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:

6008 GOODRICH AVE
SAINT LOUIS PARK, MN
ZIP 55416-425
Phone: (612) 578-0502

The enumeration date for this NPI number is 1/29/2013 and was last updated on 1/29/2013.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramG087026331215MINNESOTAYes

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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