Provider Demographics
NPI:1821686395
Name:AUSTIN, JOYCE MARIE (PMHNP)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:MARIE
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 788
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98907-0788
Mailing Address - Country:US
Mailing Address - Phone:509-854-4120
Mailing Address - Fax:888-375-6238
Practice Address - Street 1:120 N 50TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-2800
Practice Address - Country:US
Practice Address - Phone:509-854-4120
Practice Address - Fax:888-375-6238
Is Sole Proprietor?:No
Enumeration Date:2021-01-09
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61131273363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health