Joyce A Owens
Individual provider Active NPI Nurse's Aide · Bridgeport, OH
NPI 1093596967 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1093596967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 400581650207 (OH)
- Practice address
- 1047 Howard St
Bridgeport, OH 43912-1137 - Phone
- (740) 310-1652
- NPI assigned
- Oct 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 400581650207 | OH | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 400581650207 | OH | Yes |
Addresses
Primary practice location
1047 Howard St
Bridgeport, OH 43912-1137
Mailing address
1047 Howard St
Bridgeport, OH 43912-1137
Phone (740) 310-1652
Other providers in Bridgeport, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2023. 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.