Provider Demographics
NPI:1881133643
Name:HOOSIER, SILKE (FNP)
Entity type:Individual
Prefix:
First Name:SILKE
Middle Name:
Last Name:HOOSIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 MOUNTAIN VIEW DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:KIMBALL
Mailing Address - State:TN
Mailing Address - Zip Code:37347-5477
Mailing Address - Country:US
Mailing Address - Phone:423-942-9171
Mailing Address - Fax:423-942-9128
Practice Address - Street 1:24 MOUNTAIN VIEW DR
Practice Address - Street 2:SUITE A
Practice Address - City:KIMBALL
Practice Address - State:TN
Practice Address - Zip Code:37347-5477
Practice Address - Country:US
Practice Address - Phone:423-942-9171
Practice Address - Fax:423-942-9128
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22171363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily