Provider Demographics
NPI:1437618980
Name:JOYCE, ABHIJETT SUNJAE JANIA
Entity Type:Individual
Prefix:
First Name:ABHIJETT
Middle Name:SUNJAE JANIA
Last Name:JOYCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1896
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-1896
Mailing Address - Country:US
Mailing Address - Phone:409-454-1843
Mailing Address - Fax:
Practice Address - Street 1:158 LEWIS AVE
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-0000
Practice Address - Country:US
Practice Address - Phone:409-454-1843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty