Healthcare Provider Details

I. General information

NPI: 1255817169
Provider Name (Legal Business Name): JOYLOVE MATLIN FELDER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2018
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SC HOUSE CALLS INC 111 DOCTORS CIRCLE
COLUMBIA SC
29203
US

IV. Provider business mailing address

SC HOUSE CALLS INC 111 DOCTORS CIRCLE
COLUMBIA SC
29203
US

V. Phone/Fax

Practice location:
  • Phone: 800-491-0909
  • Fax: 478-864-1288
Mailing address:
  • Phone: 800-491-0909
  • Fax: 478-864-1288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number22339
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN197578
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: