Provider Demographics
NPI:1801683776
Name:NWANSI-IRO, JOY C
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:C
Last Name:NWANSI-IRO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15805 WEYMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-6274
Mailing Address - Country:US
Mailing Address - Phone:214-466-0929
Mailing Address - Fax:
Practice Address - Street 1:15805 WEYMOUTH DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-6274
Practice Address - Country:US
Practice Address - Phone:214-466-0929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1173275363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily