Provider Demographics
NPI:1700862497
Name:NWANGANGA, JOY CHIOMA (FNP)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:CHIOMA
Last Name:NWANGANGA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:489 AGNES ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-2157
Mailing Address - Country:US
Mailing Address - Phone:512-321-9091
Mailing Address - Fax:512-549-3005
Practice Address - Street 1:489 AGNES ST STE 100
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-2157
Practice Address - Country:US
Practice Address - Phone:512-321-9091
Practice Address - Fax:512-549-3005
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133909363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily