Provider Demographics
NPI:1891307013
Name:BRUNSON, JOYCE ELAINE (DNP, ACNP, AGNP)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:ELAINE
Last Name:BRUNSON
Suffix:
Gender:F
Credentials:DNP, ACNP, AGNP
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:ELAINE
Other - Last Name:BRUNSON-OLLISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3515 W MARKET ST STE 210
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-4442
Practice Address - Country:US
Practice Address - Phone:336-660-5480
Practice Address - Fax:336-660-5499
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC275002163W00000X
NC5013639363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care