Provider Demographics
NPI:1740591379
Name:YOUSSEF, JOANN ISHAK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOANN
Middle Name:ISHAK
Last Name:YOUSSEF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JOANN
Other - Middle Name:ISHAK
Other - Last Name:ATIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:109 RIDGEVIEW MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-5202
Mailing Address - Country:US
Mailing Address - Phone:630-569-2424
Mailing Address - Fax:
Practice Address - Street 1:214 BROAD ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-2714
Practice Address - Country:US
Practice Address - Phone:423-547-2733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33994183500000X
IL051292991183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist