Provider Demographics
NPI:1033468319
Name:CAPPELL, JOAN ANN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:ANN
Last Name:CAPPELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 N NOVA RD STE 114
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-4421
Mailing Address - Country:US
Mailing Address - Phone:386-227-7014
Mailing Address - Fax:386-866-8009
Practice Address - Street 1:533 N NOVA RD STE 114
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-4421
Practice Address - Country:US
Practice Address - Phone:386-227-7014
Practice Address - Fax:386-866-8009
Is Sole Proprietor?:No
Enumeration Date:2012-09-03
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9339226363L00000X
NC900113363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health