Provider Demographics
NPI:1811485527
Name:BAILEY, JOYCELYN
Entity type:Individual
Prefix:
First Name:JOYCELYN
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18202 MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:CAPE CHARLES
Mailing Address - State:VA
Mailing Address - Zip Code:23310-4441
Mailing Address - Country:US
Mailing Address - Phone:757-619-1376
Mailing Address - Fax:757-767-3042
Practice Address - Street 1:18202 MEADOWS DR
Practice Address - Street 2:
Practice Address - City:CAPE CHARLES
Practice Address - State:VA
Practice Address - Zip Code:23310-4441
Practice Address - Country:US
Practice Address - Phone:757-619-1376
Practice Address - Fax:757-767-3042
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-27
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA454253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care