Provider Demographics
NPI:1669170072
Name:KLINGEMANN, JOY WARREN (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:WARREN
Last Name:KLINGEMANN
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 1:385 EGYPT RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-7200
Mailing Address - Country:US
Mailing Address - Phone:843-375-3401
Mailing Address - Fax:
Practice Address - Street 1:385 EGYPT RD
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-7200
Practice Address - Country:US
Practice Address - Phone:843-375-3401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC102515163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool