Healthcare Provider Details

I. General information

NPI: 1063936268
Provider Name (Legal Business Name): COURTNEY HOOKS RN, CNM, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2017
Last Update Date: 04/13/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA GA
30318-6657
US

IV. Provider business mailing address

2201 HENDERSON MILL RD NE STE 160
ATLANTA GA
30345-2711
US

V. Phone/Fax

Practice location:
  • Phone: 404-616-2265
  • Fax:
Mailing address:
  • Phone: 404-712-8179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1043576
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN271275
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN271275
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN271275
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: