Provider Demographics
NPI:1871004911
Name:JOY, LEELA JIVAN (CNM)
Entity Type:Individual
Prefix:MS
First Name:LEELA
Middle Name:JIVAN
Last Name:JOY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MS
Other - First Name:JIVAN
Other - Middle Name:LEELA
Other - Last Name:JOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:278 MAIN ST STE 307A
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3230
Mailing Address - Country:US
Mailing Address - Phone:413-773-5403
Mailing Address - Fax:
Practice Address - Street 1:278 MAIN ST STE 307A
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3230
Practice Address - Country:US
Practice Address - Phone:413-773-5403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN265019367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife