Provider Demographics
NPI:1962234971
Name:DRIZ, JOSEPHINE U (PHMNP-BC)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:U
Last Name:DRIZ
Suffix:
Gender:
Credentials:PHMNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 COLUM CT
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-2409
Mailing Address - Country:US
Mailing Address - Phone:478-305-3198
Mailing Address - Fax:
Practice Address - Street 1:103 COLUM CT
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-2409
Practice Address - Country:US
Practice Address - Phone:478-305-3198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA275212363LP0808X
GARN275212363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health