Individual
JOY DARLENE JOYNER PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CFNP
Contact information
Practice address
3909 NEW VISION DR, FORT WAYNE, IN 46845-1725
(260) 469-6610
(260) 969-3065
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007117A
IN
363LF0000X
Family Nurse Practitioner
0024168454
VA
363LF0000X
Family Nurse Practitioner
COA.11408-NP
OH
Other
Enumeration date
04/08/2010
Last updated
10/10/2022
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