Provider Demographics
NPI:1790428241
Name:HOOKER, KJARSTENA MARIE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KJARSTENA
Middle Name:MARIE
Last Name:HOOKER
Suffix:
Gender:F
Credentials: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 1:155 N ROMNEY LN # V201
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-6720
Mailing Address - Country:US
Mailing Address - Phone:801-427-3808
Mailing Address - Fax:
Practice Address - Street 1:1375 E 800 N STE 202
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-4437
Practice Address - Country:US
Practice Address - Phone:801-228-0617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-13
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5508759-8900363LF0000X
UT5508759-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily