Doctor Name: | JOY ALLEN PRICE |
NPI Number: | 1669829594 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 18195 |
Business Practice Address: | 15 County Road 436 Rienzi, MS - 388659776 |
Business Phone Number: | 6624627711 |
Business Fax Number: | |
Mailing Address: | 15 County Road 436, RIENZI |
State: | MS |
Postal Code: | 388659776 |
Phone Number: | 6624627711 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2016 |
NPI Last Update Date: | 05/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 18195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |