MEDICARE: DR. JOY MARIE HENRY D.C.

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	111N00000X	Chiropractor	CH10484	FL

General Provider Information

NPI Number	:	1164799953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOY MARIE HENRY D.C.

Provider Business Mailing Address
First Line	:	1149 NESTING EAGLES LN
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-5212
Country	:	US
Telephone Number	:	757-630-0712
Fax Number	:

Provider Business Practice Location Address
First Line	:	4401 EMERSON ST STE 1
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-4954
Country	:	US
Telephone Number	:	757-630-0712
Fax Number	:

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

Provider Enumeration Date	:	11/21/2011
Last Update Date	:	03/18/2024

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