Healthcare Provider Details

I. General information

NPI: 1225967987
Provider Name (Legal Business Name): DR. JENNIFER HAWKEN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1768 BUSINESS CENTER DR STE 360
RESTON VA
20190-5358
US

IV. Provider business mailing address

1768 BUSINESS CENTER DR STE 360
RESTON VA
20190-5358
US

V. Phone/Fax

Practice location:
  • Phone: 703-592-6449
  • Fax: 703-783-5257
Mailing address:
  • Phone: 703-592-6449
  • Fax: 703-783-5257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LYNN HAWKEN
Title or Position: OWNER
Credential: MD
Phone: 703-592-6449