Provider Demographics
NPI:1437134749
Name:POOCHOON, JOAN (PNP)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:
Last Name:POOCHOON
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 475 PO BOX 1415
Mailing Address - Street 2:FPO AP
Mailing Address - City:YOKOSUKA
Mailing Address - State:YOKOSUKA
Mailing Address - Zip Code:96350
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:US NAVAL HOSPITAL
Practice Address - Street 2:
Practice Address - City:YOKOSUKA
Practice Address - State:YOKOSUKA
Practice Address - Zip Code:96350
Practice Address - Country:JP
Practice Address - Phone:01181-311-5505
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN 00121900363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WARN00121900OtherNURSING