Provider Demographics
NPI:1912903642
Name:HOOKS, JOANNE ELIZABETH (APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:ELIZABETH
Last Name:HOOKS
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 12938
Mailing Address - Street 2:C/O CLINIC MANAGEMENT
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30703
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:106 HOSPITAL DR STE 1
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:GA
Practice Address - Zip Code:30705-2070
Practice Address - Country:US
Practice Address - Phone:706-695-9240
Practice Address - Fax:706-695-9241
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN117832363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA429126502DMedicaid
GAP00385025OtherRAILROAD MEDICARE
GA5860450001Medicare NSC
GA50BBHMRMedicare PIN