Provider Demographics
NPI:1578913323
Name:JOINES, ACADIA MATILDA (RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ACADIA
Middle Name:MATILDA
Last Name:JOINES
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10242 STATE HIGHWAY 172
Mailing Address - Street 2:
Mailing Address - City:LOLITA
Mailing Address - State:TX
Mailing Address - Zip Code:77971-4016
Mailing Address - Country:US
Mailing Address - Phone:361-894-3254
Mailing Address - Fax:
Practice Address - Street 1:104 WATERMARK
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-1168
Practice Address - Country:US
Practice Address - Phone:361-573-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131066363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily