Provider Demographics
NPI:1942593355
Name:WASSMER, JOY ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ANN
Last Name:WASSMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:ANN
Other - Last Name:HICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 GRAMPIAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1909
Mailing Address - Country:US
Mailing Address - Phone:570-320-7690
Mailing Address - Fax:570-320-7898
Practice Address - Street 1:1100 GRAMPIAN BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-1909
Practice Address - Country:US
Practice Address - Phone:570-320-7690
Practice Address - Fax:570-320-7898
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN560425163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse