Joya Ryan, APN/CNP
Individual provider Active NPI Nurse Practitioner · Sullivan, IL
NPI 1801898085 · NPPES record last updated Jun 25, 2013
Key facts
- NPI
- 1801898085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 309000182 (IL)
- Practice address
- 2 W Adams St
Sullivan, IL 61951-1943 - Phone
- (217) 728-7353
- Fax
- (217) 728-2580
- NPI assigned
- Jun 1, 2005
- 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)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309000182 | IL | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 309000182 | IL | Yes |
Addresses
Primary practice location
2 W Adams St
Sullivan, IL 61951-1943
Mailing address
2 W Adams St
Sullivan, IL 61951-1943
Phone (217) 728-7353
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360710252 | Medicaid | IL |
Other providers in Sullivan, IL
- Annamarie Rose Reinhofer
- Robert L Hagen
- Kari Sue Ruppert
- Rural Health Clinic of Moultrie County LLC
- Michael Russell
- Darla Schibur
- Angela Schmohe
- Brittnie Scott
- Rita Seelow
- Amanda Sides
All providers in Sullivan, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2013. 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.