Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jenny Vivian Hawthorne

Individual provider Registered Nurse · NPI 1376055004

Mrs. Jenny Vivian Hawthorne is a Registered Nurse in O Fallon, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
Specialties on file
2

Practice location Address checks out

8600 Mexico Rd
O Fallon, MO 63366-7507
Phone: (636) 202-0721
Fax: (636) 600-5041
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20180009355 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2013031244 (MO)

Record details

NPI number1376055004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2017
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

Other providers in O Fallon