Provider Demographics
NPI:1831165349
Name:PRICE, JOY FAIR (FNP)
Entity type:Individual
Prefix:MS
First Name:JOY
Middle Name:FAIR
Last Name:PRICE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:JOY
Other - Middle Name:MAE
Other - Last Name:FAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:8 CADILLAC DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5087
Mailing Address - Country:US
Mailing Address - Phone:615-425-4225
Mailing Address - Fax:615-425-4271
Practice Address - Street 1:8 CADILLAC DR
Practice Address - Street 2:SUITE 250
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5087
Practice Address - Country:US
Practice Address - Phone:615-425-4225
Practice Address - Fax:615-425-4271
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001075667163W00000X
VA0024075667363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAS97653Medicare UPIN