Provider Demographics
NPI:1750795886
Name:CLEVELAND, JOY HARDIN (NP-C)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:HARDIN
Last Name:CLEVELAND
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2885 MCCULLOUGH BLVD STE A
Mailing Address - Street 2:P O BOX 353
Mailing Address - City:BELDEN
Mailing Address - State:MS
Mailing Address - Zip Code:38826-9001
Mailing Address - Country:US
Mailing Address - Phone:662-269-2230
Mailing Address - Fax:662-205-4562
Practice Address - Street 1:2885 MCCULLOUGH BLVD
Practice Address - Street 2:STE A
Practice Address - City:BELDEN
Practice Address - State:MS
Practice Address - Zip Code:38826-9001
Practice Address - Country:US
Practice Address - Phone:662-269-2230
Practice Address - Fax:662-205-4562
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR891433363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily