Provider Demographics
NPI:1770022550
Name:TOPP, JOAN KATHERINE (APRN)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:KATHERINE
Last Name:TOPP
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:KATHERINE
Other - Last Name:TINCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1305 N ELM ST
Mailing Address - Street 2:STE G
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-2783
Mailing Address - Country:US
Mailing Address - Phone:270-826-0002
Mailing Address - Fax:270-826-0003
Practice Address - Street 1:2200 E PARRISH AVE BLDG A
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1453
Practice Address - Country:US
Practice Address - Phone:270-926-2273
Practice Address - Fax:270-684-3212
Is Sole Proprietor?:No
Enumeration Date:2017-02-14
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011032363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3011032OtherSTATE LICENSE