Healthcare Provider Details

I. General information

NPI: 1326082215
Provider Name (Legal Business Name): JOY O'BRYAN CURRAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 02/04/2021
Certification Date: 02/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7375 OSWEGO RD
LIVERPOOL NY
13090-3717
US

IV. Provider business mailing address

805 WALDEN DR
FRANKLIN TN
37064-4231
US

V. Phone/Fax

Practice location:
  • Phone: 315-291-0064
  • Fax: 315-291-0065
Mailing address:
  • Phone: 615-790-9986
  • Fax: 615-444-5579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA0000001241
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: