Provider Demographics
NPI:1831919059
Name:HOOKS PAIN AND WELLNESS CLINIC, PLLC
Entity type:Organization
Organization Name:HOOKS PAIN AND WELLNESS CLINIC, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOKS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:757-920-5659
Mailing Address - Street 1:1303 MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-3021
Mailing Address - Country:US
Mailing Address - Phone:757-920-5659
Mailing Address - Fax:757-276-0257
Practice Address - Street 1:1303 MOUNT VERNON AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3021
Practice Address - Country:US
Practice Address - Phone:757-712-2554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily