Individual
JOY BREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8399 MEMBERS DR, JONESBORO, GA 30236-4271
(404) 210-2238
Mailing address
500 KIRTS BLVD STE 100, TROY, MI 48084-4135
(248) 434-6169
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRNCNP0030296
OH
363LF0000X
Family Nurse Practitioner
F07191531
GA
Other
Enumeration date
06/08/2020
Last updated
12/01/2021
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