Provider Demographics
NPI:1093352189
Name:WEBSTER, JOANNE MARIE (APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:MARIE
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5021 JUDY DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-6887
Mailing Address - Country:US
Mailing Address - Phone:972-268-3314
Mailing Address - Fax:
Practice Address - Street 1:895 N NOLAN RIVER RD STE 101
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-1250
Practice Address - Country:US
Practice Address - Phone:817-647-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-08
Last Update Date:2019-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143166363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics