Healthcare Provider Details

I. General information

NPI: 1669417127
Provider Name (Legal Business Name): JOYCE EYLER P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 20TH AVE N 9TH FLOOR
NASHVILLE TN
37203-2131
US

IV. Provider business mailing address

PO BOX 501123
SAINT LOUIS MO
63150-0001
US

V. Phone/Fax

Practice location:
  • Phone: 615-284-1400
  • Fax: 615-284-1348
Mailing address:
  • Phone: 615-284-1400
  • Fax: 615-284-1348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number30
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: