Healthcare Provider Details

I. General information

NPI: 1245013929
Provider Name (Legal Business Name): MRS. JOYWIN CHAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 COBBLE CRK
PENSACOLA FL
32504-8638
US

IV. Provider business mailing address

7055 OAKCLIFF RD
PENSACOLA FL
32526-3629
US

V. Phone/Fax

Practice location:
  • Phone: 850-473-4800
  • Fax:
Mailing address:
  • Phone: 850-503-5493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number403662
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: