Provider Demographics
NPI:1902121916
Name:JOYAL, MARY (NP-C)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:JOYAL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 COURT ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-3201
Mailing Address - Country:US
Mailing Address - Phone:508-821-2500
Mailing Address - Fax:508-821-2122
Practice Address - Street 1:54 COURT ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3201
Practice Address - Country:US
Practice Address - Phone:508-821-2500
Practice Address - Fax:508-821-2122
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2264248163W00000X
RINPP376621363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse