Provider Demographics
NPI:1609101195
Name:MELEY, JOANNA KAY (FNP-C)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:KAY
Last Name:MELEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:KAY
Other - Last Name:VANNOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:6900 BRODIE LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5008
Mailing Address - Country:US
Mailing Address - Phone:512-892-2300
Mailing Address - Fax:512-892-2302
Practice Address - Street 1:6900 BRODIE LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5008
Practice Address - Country:US
Practice Address - Phone:512-892-2300
Practice Address - Fax:512-892-2302
Is Sole Proprietor?:No
Enumeration Date:2009-10-16
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX690706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily