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NPI Code Detail

MEDICARE: JOY UPTON FNP

MEDICARE: JOY UPTON 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
1363L00000XNurse PractitionerNP95024398CA

General Provider Information

NPI Number : 1730222548
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY UPTON FNP
Provider Business Mailing Address
First Line : 200 OCEANGATE STE 100
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-4317
Country : US
Telephone Number : 888-562-5442
Fax Number :
Provider Business Practice Location Address
First Line : 200 OCEANGATE STE 100
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-4317
Country : US
Telephone Number : 888-562-5442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 08/09/2023

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Directions to “ JOY UPTON FNP” Practice Location

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