Provider Demographics
NPI:1639924384
Name:TEMPLE, JOSEPH L (APRN, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:L
Last Name:TEMPLE
Suffix:
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5950 LIVE OAK PKWY STE 172
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-1729
Mailing Address - Country:US
Mailing Address - Phone:706-853-8538
Mailing Address - Fax:
Practice Address - Street 1:5950 LIVE OAK PKWY STE 172
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1729
Practice Address - Country:US
Practice Address - Phone:706-835-8538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN160014363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner