Individual
KELLY JEAN HOOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
4200 MEADOWLARK LN SE STE 2, RIO RANCHO, NM 87124-1050
(505) 994-3256
Mailing address
4200 MEADOWLARK LN SE STE 2, RIO RANCHO, NM 87124-1050
(505) 994-3256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66854
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07487088
—
NM
Enumeration date
02/01/2022
Last updated
07/17/2024
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