Healthcare Provider Details

I. General information

NPI: 1093838583
Provider Name (Legal Business Name): JOY EDWARDS-BECKETT PHD, DNSC, FNP.C, CW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 LYNN RD SUITE 102
THOUSAND OAKS CA
91360-1904
US

IV. Provider business mailing address

1129 MARICOPA HWY # 209
OJAI CA
93023-3167
US

V. Phone/Fax

Practice location:
  • Phone: 805-494-1222
  • Fax: 805-494-1255
Mailing address:
  • Phone: 805-907-0876
  • Fax: 805-640-0868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number563873
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number16925
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number2005454535
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: