Provider Demographics
NPI:1669835260
Name:JOYA, NESLIE JOY ABANDO (NP-C)
Entity Type:Individual
Prefix:
First Name:NESLIE JOY
Middle Name:ABANDO
Last Name:JOYA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:NESLIE JOY
Other - Middle Name:RENTUMA
Other - Last Name:ABANDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1323 NEW HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-1805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1323 NEW HAVEN DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-1805
Practice Address - Country:US
Practice Address - Phone:224-678-9085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-31
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61199951363L00000X
IL209014154363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner