Joellen Wynne, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

JOELLEN WYNNE, FNP

Practice address

1705 Cloverleaf Dr
Austin, TX 78723-3425

Phone

(512) 507-9525

NPI assigned

Jan 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joellen Wynne, FNPNPI 1841232972

Title

Owner

Phone

(512) 507-9525

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joellen Wynne, FNP

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1841232972
  NPD (past) Authorized official
• Erenio Keoni Aledo Sr., MD

  • Family Medicine Physician
  • Pasco, WA
  • NPI 1275623795
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356493084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 CLOVERLEAF DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 CLOVERLEAF DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233425",
            "telephone_number": "512-507-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOELLEN WYNNE, FNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "JOELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-507-9525",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Daisy Joe, M.D.
• Joeben Medical Supplies LLC
• Joel E. Broussard Jr. D.D.S.,M.S. Inc.
• Joel Gotvald, PA (Austin Vascular & Vein Specialists)
• Joel H Hurt MD PLLC (Austin Orthopedic Institute)
• Jacquelin Annette Joffray, APRN
• Jaimie Lynn Johanneck
• Lee Johannsen, MD
• Kiersten Johanson
• John a Dieck PA (Texas Heart & Vascular PA)

• Family Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.