BRUCEALYNEA JOY KNOWLTON FNP NPI 1366776411

NPI Information

NPI: 1366776411
Provider Name: BRUCEALYNEA JOY KNOWLTON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4101 WESLEY ST STE C
GREENVILLE, TX
ZIP 75401
Phone: (903) 454-8111
Get Directions

Brucealynea Joy Knowlton, FNP is a family nurse practitioner in Greenville, TX. Brucealynea Joy Knowlton, FNP NPI is 1366776411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4101 WESLEY ST STE C
GREENVILLE, TX
ZIP 75401-635
Phone: (903) 454-8111

The enumeration date for this NPI number is 9/22/2009 and was last updated on 9/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	707126	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	211527102	MEDICAID	TEXAS
2	8L26948	MEDICARE PIN	TEXAS
3	211527103	MEDICAID	TEXAS
4	8L26913	MEDICARE PIN	TEXAS
5	211527101	MEDICAID	TEXAS
6	8L26917	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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