Provider Demographics
NPI:1942910021
Name:JOY RISING NUTRITION
Entity Type:Organization
Organization Name:JOY RISING NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:PAULINE
Authorized Official - Last Name:FORSHEE
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:185-951-2316
Mailing Address - Street 1:744 SW ARUBA BAY
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-3425
Mailing Address - Country:US
Mailing Address - Phone:185-951-2316
Mailing Address - Fax:772-758-5296
Practice Address - Street 1:744 SW ARUBA BAY
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-3425
Practice Address - Country:US
Practice Address - Phone:185-951-2316
Practice Address - Fax:772-758-5296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-30
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Single Specialty