Provider Demographics
NPI:1720358682
Name:CHERRY, JOYCE
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:
Last Name:CHERRY
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 127
Mailing Address - Street 2:
Mailing Address - City:WELDON
Mailing Address - State:NC
Mailing Address - Zip Code:27890
Mailing Address - Country:US
Mailing Address - Phone:252-536-2070
Mailing Address - Fax:252-536-5119
Practice Address - Street 1:108 E. FIRST ST
Practice Address - Street 2:
Practice Address - City:WELDON
Practice Address - State:NC
Practice Address - Zip Code:27890
Practice Address - Country:US
Practice Address - Phone:252-536-2070
Practice Address - Fax:252-536-5119
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC097895164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse