Healthcare Provider Details
I. General information
NPI: 1619060910
Provider Name (Legal Business Name): JOYCE HOPKINS FLOYD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
991 WEST HUDSON
GASTONIA NC
28052
US
IV. Provider business mailing address
991 WEST HUDSON
GASTONIA NC
28052
US
V. Phone/Fax
- Phone: 704-853-5037
- Fax: 704-862-6113
- Phone: 704-853-5037
- Fax: 704-862-6113
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WC0400X |
| Taxonomy | Case Management Registered Nurse |
| License Number | 077733 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: