Provider Demographics
NPI:1871364729
Name:HAWKINS, NICOLE (DACM, LAC)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2159 HENDERSONVILLE RD STE 50
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-9721
Mailing Address - Country:US
Mailing Address - Phone:828-333-1413
Mailing Address - Fax:
Practice Address - Street 1:2159 HENDERSONVILLE RD STE 50
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-9721
Practice Address - Country:US
Practice Address - Phone:828-333-1413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2141171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist