Provider Demographics
NPI:1477659209
Name:HOOPER, NORA (FNP)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:HOOPER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2078
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-6156
Mailing Address - Country:US
Mailing Address - Phone:940-626-8810
Mailing Address - Fax:940-626-8811
Practice Address - Street 1:2014 BEN MERRITT DR STE B
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3851
Practice Address - Country:US
Practice Address - Phone:940-626-8810
Practice Address - Fax:940-626-8811
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP106343363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX846NSOtherBCBS
TX286465402Medicaid
TX846NSOtherBCBS