Provider Demographics
NPI:1679263073
Name:HAMBLIN, JOYCE ROSE
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:ROSE
Last Name:HAMBLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5466 WYNN RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-9120
Mailing Address - Country:US
Mailing Address - Phone:937-450-0929
Mailing Address - Fax:
Practice Address - Street 1:5466 WYNN RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45502-9120
Practice Address - Country:US
Practice Address - Phone:937-450-0929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health