Provider Demographics
NPI:1336667393
Name:JOSEPH, ALKA (FNP-C)
Entity Type:Individual
Prefix:
First Name:ALKA
Middle Name:
Last Name:JOSEPH
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 1:4641 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-8505
Mailing Address - Country:US
Mailing Address - Phone:914-320-9393
Mailing Address - Fax:
Practice Address - Street 1:6901 SNIDER PLZ
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205
Practice Address - Country:US
Practice Address - Phone:214-696-8033
Practice Address - Fax:214-361-2552
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-30
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF342059-1363LF0000X
TXAP140858363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily