=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275181844
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOY ELIZABETH ALBRIGHT FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/28/2019
-----------------------------------------------------
Last Update Date | 08/04/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 754 S VAL VISTA DR STE 105
-----------------------------------------------------
City | GILBERT
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85296-3139
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-497-2900
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 754 S VAL VISTA DR STE 105
-----------------------------------------------------
City | GILBERT
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85296-3139
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-497-2900
-----------------------------------------------------
Fax | 480-297-2906
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 218681
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------