Individual
KAYLIE SHANE BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
445 N CROSS POINTE BLVD, EVANSVILLE, IN 47715-4010
(812) 471-4611
(812) 471-4514
Mailing address
PO BOX 632281, CINCINNATI, OH 45263-2281
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71017168A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28244166A
IN
Other
Enumeration date
08/18/2025
Last updated
04/03/2026
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