Healthcare Provider Details

I. General information

NPI: 1134667405
Provider Name (Legal Business Name): JOY FEVRIER NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2017
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 FOREST AVE
BRONX NY
10456-7802
US

IV. Provider business mailing address

1 E TILDEN PL
HOPEWELL JUNCTION NY
12533-7391
US

V. Phone/Fax

Practice location:
  • Phone: 904-505-9638
  • Fax:
Mailing address:
  • Phone: 904-505-9638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number408085
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0117106
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number341715
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: