Provider Demographics
NPI:1194600676
Name:HAWKINS, OLIVIA
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9419 HIGHWAY 186
Mailing Address - Street 2:
Mailing Address - City:ALTUS
Mailing Address - State:AR
Mailing Address - Zip Code:72821-8995
Mailing Address - Country:US
Mailing Address - Phone:817-226-6689
Mailing Address - Fax:
Practice Address - Street 1:117 NORTHRIDGE DR E STE C
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-6983
Practice Address - Country:US
Practice Address - Phone:479-474-4892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR225405163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management