Provider Demographics
NPI:1134672215
Name:GUERRA, JOANNE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:GUERRA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 HOSPITAL DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5701
Mailing Address - Country:US
Mailing Address - Phone:361-827-7925
Mailing Address - Fax:
Practice Address - Street 1:2710 HOSPITAL DR
Practice Address - Street 2:SUITE 310
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5701
Practice Address - Country:US
Practice Address - Phone:361-827-7925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131238363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily