Provider Demographics
NPI:1689254039
Name:FALCON, JOANNA (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:FALCON
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742 MILANO CT
Mailing Address - Street 2:
Mailing Address - City:BRAWLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92227-7760
Mailing Address - Country:US
Mailing Address - Phone:760-234-7143
Mailing Address - Fax:
Practice Address - Street 1:742 MILANO CT
Practice Address - Street 2:
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227-7760
Practice Address - Country:US
Practice Address - Phone:760-234-7143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-10
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95016759363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily