Provider Demographics
NPI:1750916094
Name:JOOSTEN, MONICA M (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:M
Last Name:JOOSTEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2117 N TEDDY CT
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-8881
Mailing Address - Country:US
Mailing Address - Phone:559-786-2074
Mailing Address - Fax:
Practice Address - Street 1:306 N CONYER ST STE A
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-4704
Practice Address - Country:US
Practice Address - Phone:559-258-0726
Practice Address - Fax:559-713-1121
Is Sole Proprietor?:No
Enumeration Date:2020-03-06
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014119363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily