Provider Demographics
NPI:1285996611
Name:MOVERLEY, JOY AMANDA (MPH, PA-C)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:AMANDA
Last Name:MOVERLEY
Suffix:
Gender:F
Credentials:MPH, PA-C
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Mailing Address - Street 1:1310 CLUB DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94592-1187
Mailing Address - Country:US
Mailing Address - Phone:707-638-5878
Mailing Address - Fax:
Practice Address - Street 1:365 TUOLUMNE ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-5700
Practice Address - Country:US
Practice Address - Phone:707-553-5550
Practice Address - Fax:707-553-5685
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2023-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA22302363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1477727535Medicare PIN