Healthcare Provider Details

I. General information

NPI: 1740160506
Provider Name (Legal Business Name): KATIE ABLE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 MAR WALT DR STE 2023
FORT WALTON BEACH FL
32547-6756
US

IV. Provider business mailing address

907 MAR WALT DR STE 2023
FORT WALTON BEACH FL
32547-6756
US

V. Phone/Fax

Practice location:
  • Phone: 850-613-4024
  • Fax:
Mailing address:
  • Phone: 850-613-4024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11041587
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: