Healthcare Provider Details

I. General information

NPI: 1598646622
Provider Name (Legal Business Name): JOY BUIE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 K ST NW
WASHINGTON DC
20037-1801
US

IV. Provider business mailing address

2252 PINNACLE WAY
YORK SC
29745-9236
US

V. Phone/Fax

Practice location:
  • Phone: 202-924-4818
  • Fax:
Mailing address:
  • Phone: 843-329-9353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number259731
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: