Provider Demographics
NPI:1164093605
Name:ACQUAH, JOYCE (FNP-C)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:ACQUAH
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 1:6740 SILVERCREST DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3557
Mailing Address - Country:US
Mailing Address - Phone:469-684-7830
Mailing Address - Fax:
Practice Address - Street 1:1718 HIGHWAY 287 N STE 100
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-9242
Practice Address - Country:US
Practice Address - Phone:469-684-7830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-06
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1046762363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily