Provider Demographics
NPI:1982297404
Name:VARNER, JOY (FNP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:VARNER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23933 NICHOLS SAWMILL ROAD, BLDG 1 SUITE C
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447
Mailing Address - Country:US
Mailing Address - Phone:832-521-3839
Mailing Address - Fax:949-561-4592
Practice Address - Street 1:23933 NICHOLS SAWMILL ROAD
Practice Address - Street 2:BLDG 1, SUITE C
Practice Address - City:HOCKLEY
Practice Address - State:TX
Practice Address - Zip Code:77447
Practice Address - Country:US
Practice Address - Phone:832-521-3839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-16
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1022628363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner