Provider Demographics
NPI:1679614713
Name:BROWN, JOYCE P (RN)
Entity type:Individual
Prefix:MR
First Name:JOYCE
Middle Name:P
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 COLONY LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-5414
Mailing Address - Country:US
Mailing Address - Phone:585-334-5971
Mailing Address - Fax:
Practice Address - Street 1:140 COLONY LN
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-5414
Practice Address - Country:US
Practice Address - Phone:585-334-5971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165650-1163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY165650-1OtherRN LICENSE NUMBER
NY01904681Medicaid