Individual
JOANNE MISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E CHESTNUT ST UNIT 710, LOUISVILLE, KY 40202-5707
(502) 583-8303
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3013501
KY
363LF0000X
Family Nurse Practitioner
Primary
3013501
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100621490
—
KY
Enumeration date
09/05/2019
Last updated
11/03/2020
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