Healthcare Provider Details

I. General information

NPI: 1194364554
Provider Name (Legal Business Name): ERICA L HAWKINS NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2020
Last Update Date: 10/04/2025
Certification Date: 10/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 COOPER ST
JACKSON MI
49202-3398
US

IV. Provider business mailing address

900 COOPER ST
JACKSON MI
49202-3398
US

V. Phone/Fax

Practice location:
  • Phone: 517-780-9500
  • Fax:
Mailing address:
  • Phone: 517-780-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number4704273490
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number4704273490
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4704273490
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number4704273490
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: