Provider Demographics
NPI:1093928491
Name:POOLE, JOYCE J (FNP)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:J
Last Name:POOLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 DR MICHAEL DEBAKEY DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5728
Mailing Address - Country:US
Mailing Address - Phone:337-433-0762
Mailing Address - Fax:337-433-4868
Practice Address - Street 1:707 DR MICHAEL DEBAKEY DR
Practice Address - Street 2:NEURO ASSOCIATES
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-5728
Practice Address - Country:US
Practice Address - Phone:337-433-0762
Practice Address - Fax:337-433-4868
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX656491363LF0000X
CA317070363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily