Provider Demographics
NPI:1972194678
Name:DODSON, JOY ANN (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:ANN
Last Name:DODSON
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 W DOLLARHIDE ST
Mailing Address - Street 2:
Mailing Address - City:FOREMAN
Mailing Address - State:AR
Mailing Address - Zip Code:71836-9127
Mailing Address - Country:US
Mailing Address - Phone:903-701-0301
Mailing Address - Fax:
Practice Address - Street 1:310 E HOSKINS ST
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:TX
Practice Address - Zip Code:75570-2727
Practice Address - Country:US
Practice Address - Phone:903-628-7877
Practice Address - Fax:903-628-7876
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR214684363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily