Provider Demographics
NPI:1073783676
Name:VELA, JOANNE FRANCES (NP)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:FRANCES
Last Name:VELA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1916 SEAGULL LN
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-4883
Mailing Address - Country:US
Mailing Address - Phone:956-648-1060
Mailing Address - Fax:
Practice Address - Street 1:1916 SEAGULL LN
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-4883
Practice Address - Country:US
Practice Address - Phone:956-648-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX676268363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily