Healthcare Provider Details

I. General information

NPI: 1316801939
Provider Name (Legal Business Name): JOYCE ALEXANDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6579W CENTER DR
HURLEY WI
54534-9062
US

IV. Provider business mailing address

6579W CENTER DR
HURLEY WI
54534-9062
US

V. Phone/Fax

Practice location:
  • Phone: 909-240-8693
  • Fax:
Mailing address:
  • Phone: 909-240-8693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17759-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: