Provider Demographics
NPI:1841869393
Name:MCGEE, JOYCE R
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:R
Last Name:MCGEE
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 1:4144 LINDELL BLVD STE 407
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2954
Mailing Address - Country:US
Mailing Address - Phone:314-662-6153
Mailing Address - Fax:314-733-5202
Practice Address - Street 1:4144 LINDELL BLVD STE 407
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2954
Practice Address - Country:US
Practice Address - Phone:314-662-6153
Practice Address - Fax:314-733-5202
Is Sole Proprietor?:No
Enumeration Date:2021-06-20
Last Update Date:2021-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO372500000XMedicaid