Provider Demographics
NPI:1437885886
Name:KINYUA, JOYCE (PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:
Last Name:KINYUA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 BRETTON WOOD DR APT 307
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-6913
Mailing Address - Country:US
Mailing Address - Phone:857-312-6320
Mailing Address - Fax:
Practice Address - Street 1:1701 INGLESIDE AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-2103
Practice Address - Country:US
Practice Address - Phone:423-745-8802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31994363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty