Provider Demographics
NPI:1437720398
Name:RAY, JOYCELYN A (CNA, CCMA)
Entity Type:Individual
Prefix:
First Name:JOYCELYN
Middle Name:A
Last Name:RAY
Suffix:
Gender:F
Credentials:CNA, CCMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 BASHER DR
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35904-6532
Mailing Address - Country:US
Mailing Address - Phone:205-917-0525
Mailing Address - Fax:
Practice Address - Street 1:1209 BOMAR ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35904-1125
Practice Address - Country:US
Practice Address - Phone:205-917-0525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult Companion