Provider Demographics
NPI:1942512017
Name:HANCOCK, DAWN MARIE (RN, CLC, LCCE, BC-NC)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:RN, CLC, LCCE, BC-NC
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:MARIE
Other - Last Name:LOWRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6024 WILLOW SONG CT
Mailing Address - Street 2:
Mailing Address - City:RIVERBANK
Mailing Address - State:CA
Mailing Address - Zip Code:95367-2774
Mailing Address - Country:US
Mailing Address - Phone:910-364-2942
Mailing Address - Fax:
Practice Address - Street 1:6024 WILLOW SONG CT
Practice Address - Street 2:
Practice Address - City:RIVERBANK
Practice Address - State:CA
Practice Address - Zip Code:95367-2774
Practice Address - Country:US
Practice Address - Phone:910-364-2942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-06
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC196954163WM0102X
CA95180284163W00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163W00000XNursing Service ProvidersRegistered Nurse