Provider Demographics
NPI:1356783740
Name:TRUITT-LIVINGSTON, JOYCE (RN -BSN)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:TRUITT-LIVINGSTON
Suffix:
Gender:F
Credentials:RN -BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8344 MAYFAIR ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45216-1023
Mailing Address - Country:US
Mailing Address - Phone:513-290-5031
Mailing Address - Fax:
Practice Address - Street 1:8344 MAYFAIR ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216-1023
Practice Address - Country:US
Practice Address - Phone:513-290-5031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH146179374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide