Provider Demographics
NPI:1447747936
Name:PARKER, JOYCE A (APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:PARKER
Suffix:
Gender:F
Credentials:APRN, NP-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 1535
Mailing Address - Street 2:
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906-5535
Mailing Address - Country:US
Mailing Address - Phone:065-990-0776
Mailing Address - Fax:855-625-0821
Practice Address - Street 1:249 OLD US HIGHWAY 421
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40962-7506
Practice Address - Country:US
Practice Address - Phone:606-599-0077
Practice Address - Fax:855-625-0821
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3012259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily