Provider Demographics
NPI:1427064344
Name:CHAPMAN, JOY S (NP)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:S
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 WEST DR
Mailing Address - Street 2:
Mailing Address - City:OKOLONA
Mailing Address - State:MS
Mailing Address - Zip Code:38860-1625
Mailing Address - Country:US
Mailing Address - Phone:662-447-1405
Mailing Address - Fax:662-447-1408
Practice Address - Street 1:518 WEST DR
Practice Address - Street 2:
Practice Address - City:OKOLONA
Practice Address - State:MS
Practice Address - Zip Code:38860-1624
Practice Address - Country:US
Practice Address - Phone:662-447-6170
Practice Address - Fax:662-456-1094
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR856997363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS3209211Medicaid
MS500264682Medicare PIN
MSS502266Medicare UPIN