MEDICARE: MRS. JACQUELINE LEIGH HAWKINS FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	5375379091	KS
2	363LF0000X	Family Nurse Practitioner	2011010122	MO

General Provider Information

NPI Number	:	1154612307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JACQUELINE LEIGH HAWKINS FNP

Provider Business Mailing Address
First Line	:	9411 N OAK TRFY STE LL1
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-2262
Country	:	US
Telephone Number	:	816-691-1655
Fax Number	:

Provider Business Practice Location Address
First Line	:	5330 NW 64TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-2414
Country	:	US
Telephone Number	:	816-691-3065
Fax Number	:	816-346-7115

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2011
Last Update Date	:	06/22/2023

Similar Medicare Providers

1780656066 — MRS. BETHANY ERIN GEORGE NP
Practice Location Address:

5314 NW 64TH ST
KANSAS CITY, MO
64151-2414

Practice Phone: 866-825-3227
Practice Fax:

1467673624 — PARKVILLE FAMILY PRACTICE, PC
Practice Location Address:

5346 NW 64TH ST
KANSAS CITY, MO
64151-2414

Practice Phone: 816-587-0440
Practice Fax: 816-587-3549

1831482512 — HY-VEE INC
Practice Location Address:

5330 NW 64TH STREET
KANSAS CITY, MO
64151-2414

Practice Phone: 816-505-7163
Practice Fax: 816-505-1768

1871838763 — REBECCA LYNN FORREST MS, RD, LD
Practice Location Address:

5330 NW 64TH ST
KANSAS CITY, MO
64151-2414

Practice Phone: 816-505-1311
Practice Fax:

1871831644 — DR. LAURA R FISH PHARM.D.
Practice Location Address:

5330 NW 64TH ST
KANSAS CITY, MO
64151-2414

Practice Phone: 816-505-7163
Practice Fax:

1194271221 — MERITAS HEALTH CORPORATION
Practice Location Address:

5330 NW 64TH ST
KANSAS CITY, MO
64151-2414

Practice Phone: 816-691-1424
Practice Fax:

Directions to “ MRS. JACQUELINE LEIGH HAWKINS FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.