Provider Demographics
NPI:1205954732
Name:DAVIS, JOY M (CRNP)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:M
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 RIDGE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:OTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18942-9726
Mailing Address - Country:US
Mailing Address - Phone:215-348-5046
Mailing Address - Fax:215-348-8799
Practice Address - Street 1:174 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:PA
Practice Address - Zip Code:18917-2108
Practice Address - Country:US
Practice Address - Phone:215-249-9020
Practice Address - Fax:215-249-3469
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAUP005055C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health