Provider Demographics
NPI:1083240030
Name:JOYCE, CHELSEA (PA)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:JOYCE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 YORKVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:TN
Mailing Address - Zip Code:38330-4004
Mailing Address - Country:US
Mailing Address - Phone:731-414-5229
Mailing Address - Fax:
Practice Address - Street 1:86 YORKVILLE HWY
Practice Address - Street 2:
Practice Address - City:DYER
Practice Address - State:TN
Practice Address - Zip Code:38330-4004
Practice Address - Country:US
Practice Address - Phone:731-414-5229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4091363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant