Provider Demographics
NPI:1952448359
Name:BRANDON, JOYCE ANN (RN)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:ANN
Last Name:BRANDON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2427 SAGEMONT DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-1745
Mailing Address - Country:US
Mailing Address - Phone:813-685-9233
Mailing Address - Fax:
Practice Address - Street 1:914 S FLORIDA AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-1144
Practice Address - Country:US
Practice Address - Phone:863-683-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2954232163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health