Provider Demographics
NPI:1497647119
Name:STEPHENS, JOY RENEE (CNA)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:RENEE
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1069 WYLIE SPRINGS CIR APT 108
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-0619
Mailing Address - Country:US
Mailing Address - Phone:470-234-4830
Mailing Address - Fax:
Practice Address - Street 1:1069 WYLIE SPRINGS CIR APT 108
Practice Address - Street 2:
Practice Address - City:CLOVER
Practice Address - State:SC
Practice Address - Zip Code:29710-0619
Practice Address - Country:US
Practice Address - Phone:470-234-4830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health