Provider Demographics
NPI:1265008528
Name:HOEKSTRA, ALICIA LYNN (APRN, CNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:LYNN
Last Name:HOEKSTRA
Suffix:
Gender:F
Credentials:APRN, CNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 SHADY LN
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75109-0628
Mailing Address - Country:US
Mailing Address - Phone:214-912-0486
Mailing Address - Fax:
Practice Address - Street 1:6601 DAN DANCIGER RD STE 100
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-4953
Practice Address - Country:US
Practice Address - Phone:817-294-2531
Practice Address - Fax:817-294-7425
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX963622163W00000X, 163WH0200X
TX1041571363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health