MEDICARE: JAMIE JOYCE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0400X	Case Management Registered Nurse	R029074	SD

General Provider Information

NPI Number	:	1023812807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE JOYCE RN

Provider Business Mailing Address
First Line	:	4805 E 49TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57110-4303
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4805 E 49TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57110-4303
Country	:	US
Telephone Number	:	605-336-3230
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	04/02/2025

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