| Doctor Name: | JOYCE ADDINGTON |
| NPI Number: | 1235519968 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 0024165679 |
| Business Practice Address: | 628 Lake St Ne Wise, VA - 242937919 |
| Business Phone Number: | 2763288017 |
| Business Fax Number: | 2763283350 |
| Mailing Address: | 628 Lake St Ne, Po Box 1217 WISE |
| State: | VA |
| Postal Code: | 242937919 |
| Phone Number: | 2763288017 |
| Fax Number: | 2763283350 |
| NPI Enumeration Date: | 06/08/2015 |
| NPI Last Update Date: | 06/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LS0200X |
| License Number: | 0024165679 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |