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Individual

JOY K CREED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
109 CARROLL DRIVE, FRIES, VA 24330-4532
(888) 908-4788
(276) 398-2094
Mailing address
14558 DANVILLE PIKE, LAUREL FORK, VA 24352-3982
(276) 398-1200
(276) 398-2094

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024165309
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010149207
VA
01
C05711
MEDICARE GROUP #
Enumeration date
07/19/2006
Last updated
02/03/2023
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