Healthcare Provider Details

I. General information

NPI: 1619006657
Provider Name (Legal Business Name): JOYCE CLEAVENGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 CIRCLE DR
SALINAS CA
93905-2150
US

IV. Provider business mailing address

20 BLACK BROOK RD
AQUINNAH MA
02535-1546
US

V. Phone/Fax

Practice location:
  • Phone: 831-757-6237
  • Fax:
Mailing address:
  • Phone: 508-645-9265
  • Fax: 508-645-2813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number268990
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number22674
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: