Provider Demographics
NPI:1629856539
Name:HAWKINS, DEBRA JANE (DNP, APRN, AGCNS-BC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:JANE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:DNP, APRN, AGCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:TONKAWA
Mailing Address - State:OK
Mailing Address - Zip Code:74653-2528
Mailing Address - Country:US
Mailing Address - Phone:580-628-0086
Mailing Address - Fax:
Practice Address - Street 1:40 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:OK
Practice Address - Zip Code:74637-5084
Practice Address - Country:US
Practice Address - Phone:918-642-3291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0133171163WG0600X
OK652086364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No163WG0600XNursing Service ProvidersRegistered NurseGerontology