Healthcare Provider Details

I. General information

NPI: 1790084689
Provider Name (Legal Business Name): RHONDA HOOKER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RHONDA DOLEN-HOOKER

II. Dates (important events)

Enumeration Date: 03/18/2011
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5780 OSAGE BEACH PKWY STE 205A
OSAGE BEACH MO
65065-3188
US

IV. Provider business mailing address

75 BRIARWOOD CT
CAMDENTON MO
65020-6600
US

V. Phone/Fax

Practice location:
  • Phone: 573-410-9777
  • Fax: 573-693-1003
Mailing address:
  • Phone: 573-410-9777
  • Fax: 573-693-1003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201700006
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209008693
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11001998
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2020004722
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041232362
License Number StateIL
# 6
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2007005809
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: