Basic Information
Provider Information
NPI: 1033757604
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOYCE
FirstName: JULIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN, PMHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1100 NEW JERSEY AVE SE STE 500
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200033326
CountryCode: US
TelephoneNumber: 2027157900
FaxNumber:  
Practice Location
Address1: 765 KENILWORTH TER NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200191898
CountryCode: US
TelephoneNumber: 2024694699
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/14/2019
LastUpdateDate: 02/18/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP0808XRN1013991DCN Nursing Service ProvidersRegistered NursePsych/Mental Health
363LP0808XRN1013991DCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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