Provider Demographics
NPI:1891450367
Name:FALCON, JOSHUA NICHOLAS (FNP-C)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:NICHOLAS
Last Name:FALCON
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6830 BRISCOE ML
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-4408
Mailing Address - Country:US
Mailing Address - Phone:210-250-0469
Mailing Address - Fax:
Practice Address - Street 1:11320 ALAMO RANCH PKWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-6441
Practice Address - Country:US
Practice Address - Phone:210-485-3644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1057893363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily