Provider Demographics
NPI:1790138055
Name:MORCKEL, JOYCE
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:
Last Name:MORCKEL
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JOYCE
Other - Middle Name:
Other - Last Name:SCHWIERKING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:3773 OLENTANGY RIVER RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3425
Mailing Address - Country:US
Mailing Address - Phone:614-566-5588
Mailing Address - Fax:614-566-6806
Practice Address - Street 1:3773 OLENTANGY RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3425
Practice Address - Country:US
Practice Address - Phone:614-566-5588
Practice Address - Fax:614-566-6806
Is Sole Proprietor?:No
Enumeration Date:2016-07-21
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH135044364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0180627Medicaid
OH0180627Medicaid