Provider Demographics
NPI:1245322510
Name:JOYCE, JILL (MD)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:
Last Name:JOYCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1250
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-4250
Mailing Address - Country:US
Mailing Address - Phone:410-721-5030
Mailing Address - Fax:410-721-5073
Practice Address - Street 1:2191 DEFENSE HWY
Practice Address - Street 2:SUITE 308 JILL JOYCE MD
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-2941
Practice Address - Country:US
Practice Address - Phone:410-721-5030
Practice Address - Fax:410-721-5073
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD445872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD38151Medicaid
121MO38FMedicare ID - Type Unspecified
MD38151Medicaid