MEDICARE: MS. JOY F HARVEY FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	085078976N1	OR

General Provider Information

NPI Number	:	1538163118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOY F HARVEY FNP

Provider Business Mailing Address
First Line	:	1014 NE CHERRY LN
Second Line	:
City	:	MADRAS
State	:	OR
Zip	:	97741-9478
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 SW 4TH ST STE C
Second Line	:
City	:	MADRAS
State	:	OR
Zip	:	97741-1022
Country	:	US
Telephone Number	:	541-475-4456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	07/08/2007

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