Provider Demographics
NPI:1093901621
Name:DOHN, JOYCE (ARNP)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:DOHN
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 1:1512 CRUMS LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40216-3861
Mailing Address - Country:US
Mailing Address - Phone:502-471-2390
Mailing Address - Fax:502-471-2393
Practice Address - Street 1:1512 CRUMS LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-3861
Practice Address - Country:US
Practice Address - Phone:502-471-2390
Practice Address - Fax:502-471-2393
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4865P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner