Doctor Name: | MRS. JOYCE JULIA WHITE |
NPI Number: | 1588960215 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP, ARNP |
License Number: | 418908 |
Business Practice Address: | 115 S Price Ave Hominy, OK - 740352524 |
Business Phone Number: | 9188851264 |
Business Fax Number: | 9188851265 |
Mailing Address: | Po Box 1784, BENTONVILLE |
State: | AR |
Postal Code: | 727121784 |
Phone Number: | 4792683477 |
Fax Number: | 4792683478 |
NPI Enumeration Date: | 01/27/2011 |
NPI Last Update Date: | 01/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 418908 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |