Provider Demographics
NPI:1558673285
Name:COONFIELD, JOY ANN (LM, CPM)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ANN
Last Name:COONFIELD
Suffix:
Gender:F
Credentials:LM, CPM
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 394
Mailing Address - Street 2:
Mailing Address - City:GRAVETTE
Mailing Address - State:AR
Mailing Address - Zip Code:72736-0394
Mailing Address - Country:US
Mailing Address - Phone:479-787-5065
Mailing Address - Fax:
Practice Address - Street 1:14195 STRAWBERRY RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:GRAVETTE
Practice Address - State:AR
Practice Address - Zip Code:72736
Practice Address - Country:US
Practice Address - Phone:479-787-5065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR032009175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay