MS. JOANNE D IRVIN FNP
NPI 1033176532
Nurse Practitioner in Rogersville, TN

Q: What is Joanne Irvin's NPI number?

The NPI number for Joanne Irvin is 1033176532. It was assigned to this individual provider in the NPPES registry on April 27, 2006. The provider is also known as Joanne Lee Diffley-Canniff.

Q: What is Joanne Irvin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Joanne Irvin was last updated on December 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 27, 2006

4966 HIGHWAY 11W, HAWKINS MEDICAL CENTER, ROGERSVILLE, TN 37857(423) 272-5600(423) 272-1428 Get Directions Write a Review

NPPES record last updated: December 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Joanne D Irvin Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JOANNE D IRVIN FNP (NPI 1033176532) is an individual nurse practitioner in Rogersville, Tennessee, licensed in Tennessee (11979) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1033176532

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. JOANNE D IRVINCredential: FNP

Location Address4966 HIGHWAY 11W, HAWKINS MEDICAL CENTERRogersville, TN 37857

Mailing AddressPo Box 850, Attn Wanda Brown CredentialingRogersville, TN 37857-0850 · (423) 272-9163 · Fax (423) 921-6920

Phone(423) 272-5600

Fax(423) 272-1428

Sole ProprietorNo

Enumeration DateApril 27, 2006

Last NPPES UpdateDecember 27, 2012

✔ NPI 1033176532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 11979

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4966 HIGHWAY 11W, Rogersville, TN 37857

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Other Names 1

Former Name (1)Joanne Lee Diffley-canniff

Other Identifiers 6

Medicare PIN36432821

Other4124843TN · Bcbst

Medicare PIN3643282

Medicare PIN3703865

Medicare UPINQ19495

Medicaid3643282TN

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES F SHUCK DPH

Pharmacist