Healthcare Provider Details

I. General information

NPI: 1821988858
Provider Name (Legal Business Name): MRS. JOYCE BOWENS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 E GHOLSON AVE
HOLLY SPRINGS MS
38635-3016
US

IV. Provider business mailing address

153 E GHOLSON AVE
HOLLY SPRINGS MS
38635-3016
US

V. Phone/Fax

Practice location:
  • Phone: 662-274-3049
  • Fax: 662-274-3081
Mailing address:
  • Phone: 662-274-3049
  • Fax: 662-274-3081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: