MEDICARE: JULIE D JOYCE CRNA

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	367500000X	Certified Registered Nurse Anesthetist	128843	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922094283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE D JOYCE CRNA

Provider Business Mailing Address
First Line	:	81 WRIGHTS MILL DR
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-8570
Country	:	US
Telephone Number	:	731-668-5010
Fax Number	:

Provider Business Practice Location Address
First Line	:	367 HOSPITAL BLVD
Second Line	:	REGIONAL HOSPITAL OF JACKSON
City	:	JACKSON
State	:	TN
Zip	:	38305-2080
Country	:	US
Telephone Number	:	731-661-2227
Fax Number	:	731-661-2228

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

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	07/08/2007

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Directions to “ JULIE D JOYCE CRNA” Practice Location

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