Individual
VALENCIA JOYCE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1705 N OAK ST STE 2, MYRTLE BEACH, SC 29577-3580
(843) 507-2777
Mailing address
4016 RIVER OAKS DR STE 6, MYRTLE BEACH, SC 29579-6674
(860) 951-5450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
005324
CT
363LF0000X
Family Nurse Practitioner
005324
CT
363LF0000X
Family Nurse Practitioner
R203517
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
22494
SC
363LP2300X
Primary Care Nurse Practitioner
5010395
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004053245
—
CT
Enumeration date
04/05/2013
Last updated
03/01/2022
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