Provider Demographics
NPI:1972590974
Name:DAIRION-FLETCHER, JOYCE GINETTE (NP)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:GINETTE
Last Name:DAIRION-FLETCHER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15516 HARTFORD ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-7222
Mailing Address - Country:US
Mailing Address - Phone:501-257-5831
Mailing Address - Fax:501-257-5857
Practice Address - Street 1:4301 W 7TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5411
Practice Address - Country:US
Practice Address - Phone:501-257-5831
Practice Address - Fax:501-257-5857
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01598363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP56914Medicare UPIN