Provider Demographics
NPI:1982005682
Name:MCCOOK, JOYCE M (NP)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:M
Last Name:MCCOOK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:MICHELE
Other - Last Name:MCCOOK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:500 W 3RD AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-1985
Mailing Address - Country:US
Mailing Address - Phone:229-312-5800
Mailing Address - Fax:229-312-5853
Practice Address - Street 1:427 W 3RD AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1975
Practice Address - Country:US
Practice Address - Phone:229-312-7141
Practice Address - Fax:229-312-7146
Is Sole Proprietor?:No
Enumeration Date:2014-09-12
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN109526363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily