Provider Demographics
NPI:1861623167
Name:DELONG, JOYCE LYNN (LPN)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:LYNN
Last Name:DELONG
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3503 HUNTING BROOK DR
Mailing Address - Street 2:APT 103
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4951
Mailing Address - Country:US
Mailing Address - Phone:614-202-4389
Mailing Address - Fax:
Practice Address - Street 1:3503 HUNTING BROOK DR
Practice Address - Street 2:APT 103
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4951
Practice Address - Country:US
Practice Address - Phone:614-202-4389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH134378164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse