Provider Demographics
NPI:1275247488
Name:CELSOR, JOY (APRN, FNP-BC, FNP-C)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:CELSOR
Suffix:
Gender:F
Credentials:APRN, FNP-BC, 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:PO BOX 451
Mailing Address - Street 2:
Mailing Address - City:SENTINEL
Mailing Address - State:OK
Mailing Address - Zip Code:73664-0451
Mailing Address - Country:US
Mailing Address - Phone:580-799-5471
Mailing Address - Fax:
Practice Address - Street 1:209 S JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-5737
Practice Address - Country:US
Practice Address - Phone:580-799-5471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK211274363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily