Provider Demographics
NPI:1821009994
Name:CREED, JOYCE BROWER (ANP)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:BROWER
Last Name:CREED
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2537 HIGHWAY 35 W
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:AR
Mailing Address - Zip Code:71655-9270
Mailing Address - Country:US
Mailing Address - Phone:870-367-9142
Mailing Address - Fax:
Practice Address - Street 1:447 W GAINES ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-4723
Practice Address - Country:US
Practice Address - Phone:870-367-6202
Practice Address - Fax:870-367-3013
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAO1123363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health