Provider Demographics
NPI:1851581300
Name:WARD, JOANN COLEY (RN)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:COLEY
Last Name:WARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:VELMA
Other - Middle Name:JOANN
Other - Last Name:COLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:CARL R. DARNALL ARMY MEDICAL CENTER
Mailing Address - Street 2:36000 DARNALL LOOP
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544-5095
Mailing Address - Country:US
Mailing Address - Phone:254-287-6789
Mailing Address - Fax:254-288-9383
Practice Address - Street 1:CARL R. DARNALL ARMY MEDICAL CENTER
Practice Address - Street 2:36000 DARNALL LOOP
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-5095
Practice Address - Country:US
Practice Address - Phone:254-287-6789
Practice Address - Fax:254-288-9383
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX726349163W00000X
GARN170741163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse