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NPI Code Detail

MEDICARE: MS. JOY ORIE EDJEREN

MEDICARE: MS. JOY ORIE EDJEREN
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
1163W00000XRegistered Nurse889199TX

General Provider Information

NPI Number : 1073753562
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOY ORIE EDJEREN
Provider Business Mailing Address
First Line : 4446 BARBERRY CRK
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78245-4662
Country : US
Telephone Number : 832-762-0900
Fax Number : 713-776-1112
Provider Business Practice Location Address
First Line : 8702 S COURSE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77099-2773
Country : US
Telephone Number : 903-532-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2009
Last Update Date : 02/24/2020

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Directions to “ MS. JOY ORIE EDJEREN ” Practice Location

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