Provider Demographics
NPI:1407614738
Name:ADAMS, JOYCE Y (CNS, LDN)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:Y
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CNS, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7930 LAKECREST DR
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3306
Mailing Address - Country:US
Mailing Address - Phone:301-704-3839
Mailing Address - Fax:
Practice Address - Street 1:7930 LAKECREST DR
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3306
Practice Address - Country:US
Practice Address - Phone:301-704-3839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNU200000236133N00000X
MDDX5986133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist