Provider Demographics
NPI:1427247311
Name:JOYCE, VICKI LYNN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:LYNN
Last Name:JOYCE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30236
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-0004
Mailing Address - Country:US
Mailing Address - Phone:405-826-8439
Mailing Address - Fax:405-606-7040
Practice Address - Street 1:13900 WIRELESS WAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-2505
Practice Address - Country:US
Practice Address - Phone:405-606-2727
Practice Address - Fax:405-606-7040
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK53743363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1427247311Medicare NSC
AZZ125053Medicare PIN