Healthcare Provider Details

I. General information

NPI: 1265008528
Provider Name (Legal Business Name): ALICIA LYNN HOEKSTRA APRN, CNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2021
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5521 BELLAIRE DR S STE 116
FORT WORTH TX
76109-5855
US

IV. Provider business mailing address

917 SHADY LN
CORSICANA TX
75109-0628
US

V. Phone/Fax

Practice location:
  • Phone: 817-496-0766
  • Fax: 817-977-6530
Mailing address:
  • Phone: 214-912-0486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1041571
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number963622
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number963622
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: