Provider Demographics
NPI:1053642256
Name:METEVIER, JOY LYNN (RD)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:LYNN
Last Name:METEVIER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:LYNN
Other - Last Name:ARCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RD, LDN
Mailing Address - Street 1:15005 NOON CT
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34610-6719
Mailing Address - Country:US
Mailing Address - Phone:352-807-3941
Mailing Address - Fax:
Practice Address - Street 1:6318 ROWAN RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-3400
Practice Address - Country:US
Practice Address - Phone:727-376-9757
Practice Address - Fax:727-245-8670
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND10116133V00000X
UT7555040-4901133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLND10116OtherFLORIDA DEPT OF HEALTH