Provider Demographics
NPI:1295845246
Name:STUART, JOYCE MARGARET (RN, MS, BC)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:MARGARET
Last Name:STUART
Suffix:
Gender:F
Credentials:RN, MS, BC
Other - Prefix:MISS
Other - First Name:JOYCE
Other - Middle Name:MARGARET
Other - Last Name:SHULTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6232 GREELEY BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1940
Mailing Address - Country:US
Mailing Address - Phone:703-644-0580
Mailing Address - Fax:
Practice Address - Street 1:6901 S VAN DORN ST
Practice Address - Street 2:
Practice Address - City:KINGSTOWNE
Practice Address - State:VA
Practice Address - Zip Code:22315-3961
Practice Address - Country:US
Practice Address - Phone:703-313-6300
Practice Address - Fax:703-313-6374
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001088493163WA0400X
VA363LG0600X363LG0600X
VA363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
Not Answered363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0038347OtherANTHEM MEDICARE NUMBER
VA00494510Medicaid
P80863Medicare UPIN
VA00494510Medicaid