Provider Demographics
NPI:1427384452
Name:DUNLAVEY, JOY ELLEN (ANP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:ELLEN
Last Name:DUNLAVEY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:ELLEN
Other - Last Name:WHITLOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:175 JUDSON RD
Mailing Address - Street 2:
Mailing Address - City:HEISKELL
Mailing Address - State:TN
Mailing Address - Zip Code:37754-3418
Mailing Address - Country:US
Mailing Address - Phone:865-494-5731
Mailing Address - Fax:
Practice Address - Street 1:175 JUDSON RD
Practice Address - Street 2:
Practice Address - City:HEISKELL
Practice Address - State:TN
Practice Address - Zip Code:37754-3418
Practice Address - Country:US
Practice Address - Phone:865-494-5731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6771363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily