MEDICARE: AUTUMN JOYCE APRN, PMHNP-BC

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	163W00000X	Registered Nurse	612704	NY
2	163WH0200X	Home Health Registered Nurse	612704	NY

General Provider Information

NPI Number	:	1265898803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUTUMN JOYCE APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	10306 217TH ST
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11429-1131
Country	:	US
Telephone Number	:	917-617-4758
Fax Number	:

Provider Business Practice Location Address
First Line	:	10306 217TH ST
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11429-1131
Country	:	US
Telephone Number	:	917-804-6826
Fax Number	:

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

Provider Enumeration Date	:	01/12/2016
Last Update Date	:	01/14/2026

Similar Medicare Providers

1013347004 — MS. LATOYA JOYCE R.N.
Practice Location Address:

10306 217TH ST
QUEENS VILLAGE, NY
11429-1131

Practice Phone: 718-467-2460
Practice Fax:

1578028114 — SUPERB HOME CARE INC
Practice Location Address:

10306 217TH ST
QUEENS VILLAGE, NY
11429-1131

Practice Phone: 917-617-4758
Practice Fax:

1336144484 — ASIAN AMERICAN HOME CARE, INC
Practice Location Address:

1301 MARINA VILLAGE PKWY STE 103
ALAMEDA, CA
94501-1131

Practice Phone: 510-835-3268
Practice Fax:

1053062943 — WILLIE LARSON CNM
Practice Location Address:

5901 RHODES AVE
VALLEY VILLAGE, CA
91607-1131

Practice Phone: 310-869-0906
Practice Fax:

1972236545 — PRINCESS K FRAZIER-LYLES
Practice Location Address:

10051 MAPLE LEAF DR
MONTGOMERY VILLAGE, MD
20886-1131

Practice Phone: 301-664-0920
Practice Fax:

1265399109 — MR. CAREY D GRAY
Practice Location Address:

11001 225TH ST
QUEENS VILLAGE, NY
11429-2824

Practice Phone: 917-975-1106
Practice Fax:

Directions to “ AUTUMN JOYCE APRN, PMHNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.