| Doctor Name: | JENNIFER BOOZE-HAWKES |
| NPI Number: | 1528421971 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C, MSN |
| License Number: | AP8599 |
| Business Practice Address: | 1510 E Wagon Wheel Ln Fort Mohave, AZ - 864266697 |
| Business Phone Number: | 9287883333 |
| Business Fax Number: | |
| Mailing Address: | 4947 S Calle Del Media, FORT MOHAVE |
| State: | AZ |
| Postal Code: | 864266595 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2016 |
| NPI Last Update Date: | 04/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP8599 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |