Healthcare Provider Details

I. General information

NPI: 1083376271
Provider Name (Legal Business Name): JILL HOOKS ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 01/26/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1094 MILITARY TRL
JUPITER FL
33458-7021
US

IV. Provider business mailing address

180 NE SURFSIDE AVE
PORT ST LUCIE FL
34983-1285
US

V. Phone/Fax

Practice location:
  • Phone: 561-622-6111
  • Fax: 855-215-9930
Mailing address:
  • Phone: 912-245-2960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberRN197326
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRN197326
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11024613
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: