Provider Demographics
NPI:1356326920
Name:CIACCIO, JOY MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:MARIE
Last Name:CIACCIO
Suffix:
Gender:F
Credentials:FNP
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 2268
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-2268
Mailing Address - Country:US
Mailing Address - Phone:828-855-1192
Mailing Address - Fax:828-471-3990
Practice Address - Street 1:116 3RD ST NW STE 102
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-6137
Practice Address - Country:US
Practice Address - Phone:828-855-1192
Practice Address - Fax:828-358-0832
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201272363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
611186890OtherBEECH STREET
611186890OtherPRIVATE HEALTHCARE SAVING
611186890OtherTAX ID
NC012U9OtherBCBS
611186890OtherHUMANA TRICARE
611186890OtherUNITED HEALTHCARE
611186890OtherHEALTHCARE SAVINGS
611186890OtherCRESENT
611186890OtherFIRST HEALTH
NC7003761Medicaid
182365OtherMEDCOST
611186890OtherCIGNA HEALTHCARE
611186890OtherFIRST HEALTH
NC2599262DMedicare ID - Type Unspecified