Individual
JOANNA YUAN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2120 PRAIRIE DR STE 102, PROSPER, TX 75078-3818
(972) 544-9455
(972) 544-9465
Mailing address
1613 ALEXANDER DR, MCKINNEY, TX 75071-4168
(510) 381-6683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1142693
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1142693
TX
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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