Provider Demographics
NPI:1134334345
Name:PIERCE, JOYCE D (NP)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:D
Last Name:PIERCE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 NC HIGHWAY 55 W
Mailing Address - Street 2:
Mailing Address - City:MOUNT OLIVE
Mailing Address - State:NC
Mailing Address - Zip Code:28365-8527
Mailing Address - Country:US
Mailing Address - Phone:919-658-5900
Mailing Address - Fax:919-658-0101
Practice Address - Street 1:325 NC HIGHWAY 55 W
Practice Address - Street 2:
Practice Address - City:MOUNT OLIVE
Practice Address - State:NC
Practice Address - Zip Code:28365-8527
Practice Address - Country:US
Practice Address - Phone:919-658-5900
Practice Address - Fax:919-658-0101
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201678363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner