Provider Demographics
NPI:1679642110
Name:HARPER, JOAN DANIEL (NNP)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:DANIEL
Last Name:HARPER
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4227 QUAIL SPRINGS CIR
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-4610
Mailing Address - Country:US
Mailing Address - Phone:706-863-4975
Mailing Address - Fax:706-774-8712
Practice Address - Street 1:1350 WALTON WAY
Practice Address - Street 2:UNIVERSITY HOSPITAL
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2612
Practice Address - Country:US
Practice Address - Phone:706-774-8948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARNO41292363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care