Provider Demographics
NPI:1790581064
Name:BOOKER, MONICA (FNP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:BOOKER
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 FRANCIS LN
Mailing Address - Street 2:
Mailing Address - City:ROYSE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75189-5337
Mailing Address - Country:US
Mailing Address - Phone:903-461-9666
Mailing Address - Fax:
Practice Address - Street 1:515 FRANCIS LN
Practice Address - Street 2:
Practice Address - City:ROYSE CITY
Practice Address - State:TX
Practice Address - Zip Code:75189-5337
Practice Address - Country:US
Practice Address - Phone:903-461-9666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1014160163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice