Provider Demographics
NPI:1669809695
Name:HARPER, JOYCE ANN (LPN)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:ANN
Last Name:HARPER
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 1:203 PROCTOR AVE
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-2016
Mailing Address - Country:US
Mailing Address - Phone:315-276-8402
Mailing Address - Fax:
Practice Address - Street 1:14823 STATE ROUTE 30
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-4815
Practice Address - Country:US
Practice Address - Phone:518-483-1251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255044164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse