Provider Demographics
NPI:1720119589
Name:COX, JOYCE L (FNP)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:L
Last Name:COX
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 211
Mailing Address - Street 2:
Mailing Address - City:GRAYSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47852-0211
Mailing Address - Country:US
Mailing Address - Phone:812-564-0490
Mailing Address - Fax:317-988-5511
Practice Address - Street 1:135 E MCCALLISTER DR
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4247
Practice Address - Country:US
Practice Address - Phone:812-237-1358
Practice Address - Fax:812-237-1582
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28134162A363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily