Provider Demographics
NPI:1720632268
Name:WARREN REEVES, JOYCELYN (FNP)
Entity Type:Individual
Prefix:
First Name:JOYCELYN
Middle Name:
Last Name:WARREN REEVES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JOYCELYN
Other - Middle Name:
Other - Last Name:WARREN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:P.O. BOX 293
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31044
Mailing Address - Country:US
Mailing Address - Phone:478-945-3351
Mailing Address - Fax:
Practice Address - Street 1:98 COHEN WALKER DRIVE
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088
Practice Address - Country:US
Practice Address - Phone:478-218-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA250619363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily