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General NPI Number Information
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NPI Number | 1821247271
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Entity Type | Individual
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Provider Name | JOY ROCHELLE HERBST FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 46 ALBION ST SOUTHWEST COMMUNITY HEALTH CENTER, INC
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City | BRIDGEPORT
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State | CT
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Zip | 06605
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Country | US
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Telephone | 203-330-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 62 FAR HORIZONS DR
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City | SHELTON
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State | CT
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Zip | 06484-1708
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Country | US
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Telephone | 203-926-0484
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F0708706
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 3923
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 3923
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License Number State | CT
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