NPI 1003479593

Jenci Lyn Hawthorne, MEDICALSTUDENTMD

Practitioner Obstetrics & Gynecology Physician Louisville, KY

Practice location

Address: 950 Breckenridge Ln STE 200, Louisville, KY 40207-5929
Phone: (502) 893-6777
Fax: (502) 893-5535
Mailing address: 1901 Campus Pl, Louisville, KY 40299-2308

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 60576 (KY)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003479593
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2019
Record last updated: 19 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.