Healthcare Provider Details

I. General information

NPI: 1124805940
Provider Name (Legal Business Name): NORA MILA JOYCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2023
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5910 N MACARTHUR BLVD STE 140
IRVING TX
75039-6108
US

IV. Provider business mailing address

3333 HARRY HINES BLVD APT 14141
DALLAS TX
75201-6045
US

V. Phone/Fax

Practice location:
  • Phone: 469-663-7933
  • Fax: 469-947-6114
Mailing address:
  • Phone: 708-662-0961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1201813
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: