Provider Demographics
NPI:1255504155
Name:ONYENSO, JOYCE N (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:N
Last Name:ONYENSO
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 MONTEREY CT
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60466
Mailing Address - Country:US
Mailing Address - Phone:708-534-6144
Mailing Address - Fax:
Practice Address - Street 1:1037 MONTEREY CT
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PARK
Practice Address - State:IL
Practice Address - Zip Code:60466
Practice Address - Country:US
Practice Address - Phone:708-534-6144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator