Basic Information
| Provider Information | |||||||||
| NPI: | 1902121916 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JOYAL | ||||||||
| FirstName: | MARY | ||||||||
| MiddleName: | |||||||||
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| Credential: | NP-C | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 54 COURT ST | ||||||||
| Address2: | |||||||||
| City: | TAUNTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027803201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088212500 | ||||||||
| FaxNumber: | 5088212122 | ||||||||
| Practice Location | |||||||||
| Address1: | 54 COURT ST | ||||||||
| Address2: | |||||||||
| City: | TAUNTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027803201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088212500 | ||||||||
| FaxNumber: | 5088212122 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2010 | ||||||||
| LastUpdateDate: | 04/15/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN2264248 | MA | N | Nursing Service Providers | Registered Nurse | 363LF0000X | NPP376621 | RI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.