Provider Demographics
NPI:1295138139
Name:THOMPSON-HALL, JOYCE ANN (LPN)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:ANN
Last Name:THOMPSON-HALL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SHELTON RD
Mailing Address - Street 2:
Mailing Address - City:PEEBLES
Mailing Address - State:OH
Mailing Address - Zip Code:45660-9253
Mailing Address - Country:US
Mailing Address - Phone:513-313-9616
Mailing Address - Fax:937-386-3942
Practice Address - Street 1:8050 HOSBROOK RD
Practice Address - Street 2:SUITE 406
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2994
Practice Address - Country:US
Practice Address - Phone:513-984-1110
Practice Address - Fax:513-984-1442
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 108463-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1467471680OtherAGENCY NPI #
OH0509739Medicaid