Provider Demographics
NPI:1215022835
Name:CASEY, JOYCE K (CNP)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:K
Last Name:CASEY
Suffix:
Gender:F
Credentials:CNP
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Mailing Address - Street 1:6100 ROCKSIDE WOODS BLVD 425
Mailing Address - Street 2:SUITE 425
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-2340
Mailing Address - Country:US
Mailing Address - Phone:216-643-2780
Mailing Address - Fax:216-524-0111
Practice Address - Street 1:3260 W. HENDERSON ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220
Practice Address - Country:US
Practice Address - Phone:614-545-2002
Practice Address - Fax:614-545-7546
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2015-09-08
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Provider Licenses
StateLicense IDTaxonomies
OHNP05897363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHKENPO08922Medicare PIN