Childress, Joy Angela

Childress, Joy Angela is an individual health care provider with primary practice located at 1 Childrens Way # 653 , Little Rock AR 72202. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Childress, Joy Angela can be contacted via phone (501) 364-1100.

Contact Information

Primary practice address
1 Childrens Way # 653 Little Rock AR 72202
Phone: (501) 364-1100
Fax: (501) 364-2963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X A01476 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A001476 Arkansas

Profile Details

NPI number 1083968564
LBN Legal business name Childress, Joy Angela
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2012
Last updated May 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083968564 NPPES
Arkansas Other 193508758 MEDACAID PROVIDER NUMBER

Popular Providers