Provider Demographics
NPI:1740160506
Name:ABLE, KATIE (FNP-C)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:ABLE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9781 PARKER LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-4806
Mailing Address - Country:US
Mailing Address - Phone:404-772-6628
Mailing Address - Fax:
Practice Address - Street 1:9781 PARKER LAKE CIR
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-4806
Practice Address - Country:US
Practice Address - Phone:404-772-6628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11041587363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily