Individual
JOY TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP-C, AGNP-C
Contact information
Practice address
501 E WASHINGTON AVE, NAVASOTA, TX 77868-3001
(936) 825-6444
(936) 825-2199
Mailing address
2333 MANOR DR, BRYAN, TX 77802-1907
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
661005
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP123170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325201702
—
TX
Enumeration date
01/28/2013
Last updated
09/08/2021
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