Provider Demographics
NPI:1558463562
Name:HORN, ALICIA H (RN MSN FNP-C)
Entity Type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:H
Last Name:HORN
Suffix:
Gender:F
Credentials:RN MSN FNP-C
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Mailing Address - Street 1:2929 CALDER ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1845
Mailing Address - Country:US
Mailing Address - Phone:409-833-9797
Mailing Address - Fax:409-654-6886
Practice Address - Street 1:2010 DOWLEN ROAD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-2525
Practice Address - Country:US
Practice Address - Phone:409-833-9797
Practice Address - Fax:409-654-6918
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2023-02-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX501180363LF0000X
TXAP111078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX355016201Medicaid
TXQ40500Medicare UPIN