Provider Demographics
NPI:1043492457
Name:ADDO, JOYCE AYELESIA
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:AYELESIA
Last Name:ADDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6668 BURLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4350
Mailing Address - Country:US
Mailing Address - Phone:513-277-0285
Mailing Address - Fax:
Practice Address - Street 1:6668 BURLINGTON DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4350
Practice Address - Country:US
Practice Address - Phone:513-277-0285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH324442163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse