Provider Demographics
NPI:1093194490
Name:STRONG, JOYCE M (RN, BSN)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:M
Last Name:STRONG
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 LONGLEY RD
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:MA
Mailing Address - Zip Code:01450-1317
Mailing Address - Country:US
Mailing Address - Phone:617-666-1122
Mailing Address - Fax:
Practice Address - Street 1:1 TARA BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-2809
Practice Address - Country:US
Practice Address - Phone:617-666-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH062182-21163W00000X
CT096438163W00000X
MARN181984163WG0000X, 163WC1500X, 163WD0400X, 163WI0500X, 163WN1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163W00000XNursing Service ProvidersRegistered Nurse
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy