Healthcare Provider Details

I. General information

NPI: 1154244218
Provider Name (Legal Business Name): JOYCELYN PATRICIA BLUNT-MORTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 PURDUE MALL
WEST LAFAYETTE IN
47907-2040
US

IV. Provider business mailing address

1111 MIDLAND AVE APT 6E
BRONXVILLE NY
10708-6326
US

V. Phone/Fax

Practice location:
  • Phone: 765-494-4600
  • Fax:
Mailing address:
  • Phone: 914-609-8256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number831796-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: