MEDICARE: LEJO JOY

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	363LF0000X	Family Nurse Practitioner	1178917	TX

General Provider Information

NPI Number	:	1932922242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEJO JOY

Provider Business Mailing Address
First Line	:	3708 BLESSINGTON DR
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-8138
Country	:	US
Telephone Number	:	972-201-8356
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 STONEBROOK PKWY
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-1179
Country	:	US
Telephone Number	:	214-387-1888
Fax Number	:	214-387-1889

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

Provider Enumeration Date	:	11/05/2024
Last Update Date	:	11/05/2024

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Directions to “ LEJO JOY ” Practice Location

Language	Start Address	Practice Location

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