Provider Demographics
NPI:1609474972
Name:BRIGGS, JOAN CARLIN
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:CARLIN
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:
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 127
Mailing Address - Street 2:
Mailing Address - City:WASKOM
Mailing Address - State:TX
Mailing Address - Zip Code:75692-0127
Mailing Address - Country:US
Mailing Address - Phone:903-687-2586
Mailing Address - Fax:
Practice Address - Street 1:670 SPUR 156
Practice Address - Street 2:
Practice Address - City:WASKOM
Practice Address - State:TX
Practice Address - Zip Code:75692-9129
Practice Address - Country:US
Practice Address - Phone:903-687-2586
Practice Address - Fax:903-687-2093
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212447164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse