Provider Demographics
NPI:1225096738
Name:ADAMS, JOY LYNN (NP)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:LYNN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:664 E MAGILL AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-3953
Mailing Address - Country:US
Mailing Address - Phone:559-432-8720
Mailing Address - Fax:
Practice Address - Street 1:5339 N FRESNO ST
Practice Address - Street 2:SUITE 107-D
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6851
Practice Address - Country:US
Practice Address - Phone:559-225-2494
Practice Address - Fax:559-225-2497
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207746363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3364OtherNURSE PRACTITIONER NUMBER