Provider Demographics
NPI:1003157314
Name:PRICE, JOARIS R (ARNP, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:JOARIS
Middle Name:R
Last Name:PRICE
Suffix:
Gender:F
Credentials:ARNP, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8460 COOPER CREEK BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34201-2019
Mailing Address - Country:US
Mailing Address - Phone:941-360-1266
Mailing Address - Fax:
Practice Address - Street 1:8460 COOPER CREEK BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:UNIVERSITY PARK
Practice Address - State:FL
Practice Address - Zip Code:34201-2019
Practice Address - Country:US
Practice Address - Phone:941-360-1266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3071272363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics