MEDICARE: JOY HENRY DC LLC

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

General Provider Information

NPI Number	:	1780443077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOY HENRY DC LLC

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	:	OWNER/ CHIROPRACTOR
Name	:	DR. JOY HENRY
Credential	:	DC
Telephone Number	:	757-630-0712

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	03/18/2024

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Directions to “JOY HENRY DC LLC ” Practice Location

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