Healthcare Provider Details

I. General information

NPI: 1225371537
Provider Name (Legal Business Name): JOY LEE ROBISON-WAGGONER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 US HIGHWAY 60
PANHANDLE TX
79068-7200
US

IV. Provider business mailing address

102 US HIGHWAY 60
PANHANDLE TX
79068-7200
US

V. Phone/Fax

Practice location:
  • Phone: 806-532-2273
  • Fax: 806-532-2276
Mailing address:
  • Phone: 806-532-2273
  • Fax: 806-532-2276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number667413
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP135776
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP135776
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: