Healthcare Provider Details

I. General information

NPI: 1598231110
Provider Name (Legal Business Name): LINDSAY CLARK HAWKINS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2018
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14321 WINTER BREEZE DR STE 107
MIDLOTHIAN VA
23113-2452
US

IV. Provider business mailing address

2720 RIDGEVIEW RD
POWHATAN VA
23139-5025
US

V. Phone/Fax

Practice location:
  • Phone: 804-816-5329
  • Fax: 804-816-5195
Mailing address:
  • Phone: 540-271-1973
  • Fax: 804-816-5195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024176769
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: