Healthcare Provider Details

I. General information

NPI: 1598612269
Provider Name (Legal Business Name): MRS. AVA GABRIELLE HAWKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AVA GABRIELLE CARNLEY RN

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 VETERANS DR
FLORENCE AL
35630-4928
US

IV. Provider business mailing address

2631 COUNTY ROAD 30
FLORENCE AL
35634-6617
US

V. Phone/Fax

Practice location:
  • Phone: 256-629-1000
  • Fax:
Mailing address:
  • Phone: 817-300-0448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1-181408
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: