Healthcare Provider Details

I. General information

NPI: 1629856539
Provider Name (Legal Business Name): DEBRA JANE HAWKINS DNP, APRN, AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2023
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 QUAIL SPRINGS PKWY STE 200
OKLAHOMA CITY OK
73134-2699
US

IV. Provider business mailing address

414 N 7TH ST
TONKAWA OK
74653-2528
US

V. Phone/Fax

Practice location:
  • Phone: 405-701-9880
  • Fax:
Mailing address:
  • Phone: 580-628-0086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number224386
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License NumberR0133171
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number224386
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: