Provider Demographics
NPI:1881284669
Name:JANS, JOYCE
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:
Last Name:JANS
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:PO BOX 345
Mailing Address - Street 2:
Mailing Address - City:MCCLUSKY
Mailing Address - State:ND
Mailing Address - Zip Code:58463-0345
Mailing Address - Country:US
Mailing Address - Phone:701-578-8181
Mailing Address - Fax:
Practice Address - Street 1:609 2ND ST W APT 18
Practice Address - Street 2:
Practice Address - City:MCCLUSKY
Practice Address - State:ND
Practice Address - Zip Code:58463-9741
Practice Address - Country:US
Practice Address - Phone:701-578-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant