Provider Demographics
NPI:1497853170
Name:MCEACHIRN, JOYCE O (CEO)
Entity Type:Individual
Prefix:MISS
First Name:JOYCE
Middle Name:O
Last Name:MCEACHIRN
Suffix:
Gender:F
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 NESTLEWAY DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-8237
Mailing Address - Country:US
Mailing Address - Phone:336-275-4594
Mailing Address - Fax:336-275-4594
Practice Address - Street 1:825 NESTLEWAY DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-8237
Practice Address - Country:US
Practice Address - Phone:336-275-4594
Practice Address - Fax:336-275-4594
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-041-770163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health