Individual
JOYCE BEA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1355 EAST ST STE 200, REDDING, CA 96001-0801
(530) 515-2858
Mailing address
1355 EAST ST STE 200, REDDING, CA 96001-0801
(530) 515-2858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95018504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPF95018504
BOARD OF REGISTERED NURSING CERTIFICATE NUMBER
CA
Enumeration date
09/30/2021
Last updated
09/30/2021
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