Healthcare Provider Details

I. General information

NPI: 1801531926
Provider Name (Legal Business Name): STEPHEN JOYCE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 12/21/2025
Certification Date: 05/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 TANYARD RD
ROCKY MOUNT VA
24151-1554
US

IV. Provider business mailing address

PO BOX 1104
ROCKY MOUNT VA
24151-8104
US

V. Phone/Fax

Practice location:
  • Phone: 540-488-5636
  • Fax:
Mailing address:
  • Phone: 540-488-5636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: