Provider Demographics
NPI:1235519968
Name:ADDINGTON, JOYCE (CPNP)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:ADDINGTON
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 LAKE ST NE
Mailing Address - Street 2:PO BOX 1217
Mailing Address - City:WISE
Mailing Address - State:VA
Mailing Address - Zip Code:24293-7919
Mailing Address - Country:US
Mailing Address - Phone:276-328-8017
Mailing Address - Fax:276-328-3350
Practice Address - Street 1:628 LAKE ST NE
Practice Address - Street 2:
Practice Address - City:WISE
Practice Address - State:VA
Practice Address - Zip Code:24293-7919
Practice Address - Country:US
Practice Address - Phone:276-328-8017
Practice Address - Fax:276-328-3350
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024165679363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool