1508051509 NPI number — MRS. JOANNE JAMES MCELROY FAMILY NURSE PRACTIT

Table of content: MRS. JOANNE JAMES MCELROY FAMILY NURSE PRACTIT (NPI 1508051509)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508051509 NPI number — MRS. JOANNE JAMES MCELROY FAMILY NURSE PRACTIT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCELROY
Provider First Name:
JOANNE
Provider Middle Name:
JAMES
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FAMILY NURSE PRACTIT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCELROY
Provider Other First Name:
JOSIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1508051509
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
204 EAST WASHINGTON STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24450-2718
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-463-5055
Provider Business Mailing Address Fax Number:
540-463-1079

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
204 EAST WASHINGTON STREET
Provider Second Line Business Practice Location Address:
DNA
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24450-2718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-463-5055
Provider Business Practice Location Address Fax Number:
540-463-1079
Provider Enumeration Date:
09/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  0024167521 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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