Provider Demographics
NPI:1285060673
Name:ROGERS, JOYE LARRABEE (APRN)
Entity type:Individual
Prefix:
First Name:JOYE
Middle Name:LARRABEE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JOYE
Other - Middle Name:
Other - Last Name:LARRABEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 287
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29602-0287
Mailing Address - Country:US
Mailing Address - Phone:864-233-1534
Mailing Address - Fax:864-751-0479
Practice Address - Street 1:111A BERRY AVE
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-1307
Practice Address - Country:US
Practice Address - Phone:864-801-2035
Practice Address - Fax:864-801-2037
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18456363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily