Individual provider · Type 1 NPI

Kaylie Shane Booker, PMHNP-BC

Nurse Practitioner · Evansville, IN

NPI number 1366329914 Active

Practice location

445 N Cross Pointe Blvd
Evansville, IN 47715-4010

Fax (812) 471-4514

Mailing address

PO Box 632281
Cincinnati, OH 45263-2281

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X28244166A (IN)
Nurse Practitioner Primary 363L00000X71017168A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1366329914

Kaylie Shane Booker, PMHNP-BC's National Provider Identifier is 1366329914, issued on Aug 18, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Evansville, IN. The record was last updated on Apr 3, 2026.