Healthcare Provider Details

I. General information

NPI: 1255672960
Provider Name (Legal Business Name): LAURA KATE HOORMANN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA JOHNSON

II. Dates (important events)

Enumeration Date: 03/05/2013
Last Update Date: 09/26/2022
Certification Date: 09/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 RIVERFRONT PKWY STE 200
CHATTANOOGA TN
37402-2196
US

IV. Provider business mailing address

901 RIVERFRONT PKWY STE 200
CHATTANOOGA TN
37402-2196
US

V. Phone/Fax

Practice location:
  • Phone: 423-541-1444
  • Fax: 423-541-3002
Mailing address:
  • Phone: 615-308-2822
  • Fax: 423-541-1444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number154774
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN17481
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17481
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: