Provider Demographics
NPI:1326505611
Name:HOOKER, KATELYN F (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KATELYN
Middle Name:F
Last Name:HOOKER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11876 OLIO RD STE 700
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9778
Mailing Address - Country:US
Mailing Address - Phone:317-593-9765
Mailing Address - Fax:
Practice Address - Street 1:11876 OLIO RD STE 700
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9778
Practice Address - Country:US
Practice Address - Phone:317-593-9765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71008798A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN71008798AOtherAPN PRESCRIPTIVE AUTHORITY
IN28207022AOtherREGISTERED NURSE