Provider Demographics
NPI:1922890201
Name:GENN, JOANNE RENEE (FNP-C)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:RENEE
Last Name:GENN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 CONDO RD
Mailing Address - Street 2:
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-2316
Mailing Address - Country:US
Mailing Address - Phone:806-679-8975
Mailing Address - Fax:
Practice Address - Street 1:340 CONDO RD
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-2316
Practice Address - Country:US
Practice Address - Phone:806-679-8975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program