Basic Information
Provider Information
NPI: 1922386770
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAY
FirstName: JOY
MiddleName: ANN
NamePrefix: MRS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 225 CROSSLAKE DR
Address2:  
City: EVANSVILLE
State: IN
PostalCode: 477158198
CountryCode: US
TelephoneNumber: 8124771558
FaxNumber: 8124884669
Practice Location
Address1: 225 CROSSLAKE DR
Address2:  
City: EVANSVILLE
State: IN
PostalCode: 477158198
CountryCode: US
TelephoneNumber: 8124771558
FaxNumber: 8124884669
Other Information
ProviderEnumerationDate: 07/28/2011
LastUpdateDate: 07/28/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X28147631AINY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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