Individual
MRS. JOY FIELDS ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1301 W 7TH ST, STE 121, FORT WORTH, TX 76102-2651
(817) 348-0425
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(336) 687-2835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000158152
TN
363L00000X
Nurse Practitioner
Primary
AP119934
TX
363LF0000X
Family Nurse Practitioner
5006200
NC
363LF0000X
Family Nurse Practitioner
785190
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17969
BCBS
NC
Enumeration date
08/14/2007
Last updated
02/03/2015
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