Provider Demographics
NPI:1104840511
Name:BURNS, JOYCE WALKER (FNP)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:WALKER
Last Name:BURNS
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 1:7711 LOUIS PASTEUR DR
Mailing Address - Street 2:STE 707
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3422
Mailing Address - Country:US
Mailing Address - Phone:210-575-8500
Mailing Address - Fax:210-575-8506
Practice Address - Street 1:8026 FLOYD CURL DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3915
Practice Address - Country:US
Practice Address - Phone:210-575-4837
Practice Address - Fax:210-575-8506
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX645237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ19428Medicare UPIN