Provider Demographics
NPI:1831322023
Name:MORTON, JOYCE C (NP)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:C
Last Name:MORTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 N ADELLE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-2347
Mailing Address - Country:US
Mailing Address - Phone:435-757-7243
Mailing Address - Fax:
Practice Address - Street 1:1655 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-8169
Practice Address - Country:US
Practice Address - Phone:480-069-6955
Practice Address - Fax:480-833-9113
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT376676-4405363LP0808X
CA95017085363LP0808X
AZAP3423363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAP3423OtherAZ LICENSE
AZRN166859OtherARIZONA STATE BOARD OF NURSING
AZ458004Medicaid