Provider Demographics
NPI:1104046846
Name:BATTISFORE, JOYE LORRAINE (RN)
Entity type:Individual
Prefix:
First Name:JOYE
Middle Name:LORRAINE
Last Name:BATTISFORE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 W WATER ST
Mailing Address - Street 2:
Mailing Address - City:HANCOCK
Mailing Address - State:MI
Mailing Address - Zip Code:49930-1925
Mailing Address - Country:US
Mailing Address - Phone:906-483-4393
Mailing Address - Fax:906-337-5091
Practice Address - Street 1:817 W WATER ST
Practice Address - Street 2:
Practice Address - City:HANCOCK
Practice Address - State:MI
Practice Address - Zip Code:49930-1925
Practice Address - Country:US
Practice Address - Phone:906-483-4393
Practice Address - Fax:906-337-5091
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704217242163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4936468Medicaid