Healthcare Provider Details

I. General information

NPI: 1598329401
Provider Name (Legal Business Name): CHERRELLE HAWKINS RN, CHES(R), CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CJ HAWKINS DNP-ED, RN, CNEN

II. Dates (important events)

Enumeration Date: 04/25/2019
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 W ANKLAM RD
TUCSON AZ
85709-0002
US

IV. Provider business mailing address

1885 W SEGO LILY LN
TUCSON AZ
85705-2264
US

V. Phone/Fax

Practice location:
  • Phone: 520-206-6600
  • Fax:
Mailing address:
  • Phone: 703-966-6334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number32014
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number313860
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number340007
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number313860
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: