Provider Demographics
NPI:1053642256
Name:METEVIER, JOY LYNN (RD)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:LYNN
Last Name:METEVIER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:LYNN
Other - Last Name:ARCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RD, LDN
Mailing Address - Street 1:16 COWAN LN
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NC
Mailing Address - Zip Code:28730-8732
Mailing Address - Country:US
Mailing Address - Phone:352-807-3941
Mailing Address - Fax:
Practice Address - Street 1:16 COWAN LN
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:NC
Practice Address - Zip Code:28730-8732
Practice Address - Country:US
Practice Address - Phone:352-807-3941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL008373133V00000X
FLND10116133V00000X
UT7555040-4901133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCL008373OtherSTATE LICENSING BOARD
FLND10116OtherFLORIDA DEPT OF HEALTH