Healthcare Provider Details

I. General information

NPI: 1386565893
Provider Name (Legal Business Name): JOY CHINOMSO ARIRIESIKE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 W 34TH ST STE 301
AUSTIN TX
78705-1217
US

IV. Provider business mailing address

2891 PANTHER SPG
NEW BRAUNFELS TX
78130-0234
US

V. Phone/Fax

Practice location:
  • Phone: 512-212-4670
  • Fax: 512-233-5830
Mailing address:
  • Phone: 512-212-4670
  • Fax: 512-233-5830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1103537
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: