Healthcare Provider Details

I. General information

NPI: 1386938686
Provider Name (Legal Business Name): JENNIFER G. HAWKE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER G BROWN

II. Dates (important events)

Enumeration Date: 06/03/2011
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2175 ROSALINE AVE
REDDING CA
96001
US

IV. Provider business mailing address

2175 ROSALINE AVE
REDDING CA
96001-2549
US

V. Phone/Fax

Practice location:
  • Phone: 530-225-6000
  • Fax:
Mailing address:
  • Phone: 530-225-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number157801
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number28069
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number157801
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: