Provider Demographics
NPI:1184850141
Name:TAYLOR, JOY H (NP-C)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:H
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3767 PROFESSIONAL WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83402-7315
Mailing Address - Country:US
Mailing Address - Phone:208-785-2003
Mailing Address - Fax:208-785-9883
Practice Address - Street 1:3767 PROFESSIONAL WAY STE 1
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83402-7315
Practice Address - Country:US
Practice Address - Phone:208-785-2003
Practice Address - Fax:208-785-9883
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID915A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner