Joy Renee Autry, RN, CLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Lexington, SC
NPI 1043071145 · NPPES record last updated Jan 17, 2024
Key facts
- NPI
- 1043071145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- 255588 (SC)
- Practice address
- 113 E Main St
Lexington, SC 29072-3449 - Phone
- (803) 704-4759
- NPI assigned
- Jan 17, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255588 | SC | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 255588 | SC | Yes |
Addresses
Primary practice location
113 E Main St
Lexington, SC 29072-3449
Mailing address
138 Caddis Creek Rd
Irmo, SC 29063-8138
Phone (803) 351-1107
Other practice location 1
1033 Kinley Rd
Irmo, SC 29063-9635
Phone (803) 376-2838 ext. 0656
Other providers in Lexington, SC
- Augustine Health Group, LLC
- Maihan Aurah
- Amber Marie Austin
- Kacie Austin
- Robert Paul Austin II
- Meghan Avant
- Avillage Counseling Group LLC
- Esther Bachman
- Allison Bagley
- Brittany Bailey
All providers in Lexington, SC · Lactation Consultant (Registered Nurse) in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.