Healthcare Provider Details
I. General information
NPI: 1699177782
Provider Name (Legal Business Name): JOYCE WALKER POMPEY DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/19/2014
Last Update Date: 09/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
471 UNIVERSITY PARKWAY, BOX 11
AIKEN SC
29801
US
IV. Provider business mailing address
123 TWIN CREEK FARM RD
AIKEN SC
29805-9109
US
V. Phone/Fax
- Phone: 803-641-2840
- Fax:
- Phone: 803-641-2840
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WC1400X |
| Taxonomy | College Health Registered Nurse |
| License Number | APN F3867 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: