Provider Demographics
NPI:1639712201
Name:HOOKS, FANNY P (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:FANNY
Middle Name:P
Last Name:HOOKS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 HIGHLAND AVE NW
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-7729
Mailing Address - Country:US
Mailing Address - Phone:407-353-3390
Mailing Address - Fax:
Practice Address - Street 1:780 HIGHLAND AVE NW
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-7729
Practice Address - Country:US
Practice Address - Phone:407-353-3390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-25
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11004841363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner