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JACKIE LYNN HAWKINSON SPTA
NPI 1578801346
Student in an Organized Health Care Education/Training Program in Saint Louis Park, MN

Active since January 29, 2013
6008 GOODRICH AVE, SAINT LOUIS PARK, MN 55416(612) 578-0502 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackie Lynn Hawkinson Spta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE LYNN HAWKINSON SPTA (NPI 1578801346) is an individual student in an organized health care education/training program in Saint Louis Park, Minnesota, licensed in Minnesota (G087026331215) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1578801346
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACKIE LYNN HAWKINSONCredential: SPTA
Location Address6008 GOODRICH AVESaint Louis Park, MN 55416-2425
Mailing Address6008 Goodrich AveSaint Louis Park, MN 55416-2425 · (612) 578-0502
Phone(612) 578-0502
Sole ProprietorYes
Enumeration DateJanuary 29, 2013
✔ NPI 1578801346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MN · G087026331215
Definition
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.
6008 GOODRICH AVE, Saint Louis Park, MN 55416
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Hawkinson's NPI number?

The NPI number for Jackie Hawkinson is 1578801346. It was assigned to this individual provider in the NPPES registry on January 29, 2013.

Where is Jackie Hawkinson located?

Jackie Hawkinson practices at 6008 Goodrich Ave, Saint Louis Park, MN 55416. The listed phone number is (612) 578-0502.

What is Jackie Hawkinson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackie Hawkinson was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.