Doctor Name: | JOY M GASKA |
NPI Number: | 1376764563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 209-006544 |
Business Practice Address: | 108 S State St Yadkinville, NC - 270558249 |
Business Phone Number: | 3366792733 |
Business Fax Number: | 3366796263 |
Mailing Address: | Po Box 249, YADKINVILLE |
State: | NC |
Postal Code: | 270550249 |
Phone Number: | 3366794963 |
Fax Number: | 3366792549 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209-006544 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |