Provider Demographics
NPI:1174711717
Name:BISHOP, JOY ELAINE (RN, MSN, CPNP)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:ELAINE
Last Name:BISHOP
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5211 US HWY 278 NW
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-5211
Mailing Address - Country:US
Mailing Address - Phone:770-787-7444
Mailing Address - Fax:770-787-5050
Practice Address - Street 1:5211 US HWY 278 NW
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-5211
Practice Address - Country:US
Practice Address - Phone:770-787-7444
Practice Address - Fax:770-787-5050
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA98113363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003120619AMedicaid