Kenebrew, Joyce Louise

Kenebrew, Joyce Louise is an individual health care provider with primary practice located at 1201 S Sherman St Suite 201, Richardson TX 75081-6507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kenebrew, Joyce Louise can be contacted via phone (972) 925-9087.

Contact Information

Primary practice address
1201 S Sherman St Suite 201 Richardson TX 75081-6507
Phone: (972) 925-9087
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 756942 Texas

Profile Details

NPI number 1992056816
LBN Legal business name Kenebrew, Joyce Louise
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2012
Last updated Apr 25th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992056816 NPPES
Texas MEDICAID 312230101

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