Provider Demographics
NPI:1528864071
Name:GRANT, JOYCE MARIE
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:MARIE
Last Name:GRANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 O AVE
Mailing Address - Street 2:P.O. BOX #418
Mailing Address - City:MACY
Mailing Address - State:NE
Mailing Address - Zip Code:68039
Mailing Address - Country:US
Mailing Address - Phone:402-860-6298
Mailing Address - Fax:
Practice Address - Street 1:749 OMAHA WAY
Practice Address - Street 2:P.O. BOX #502
Practice Address - City:MACY
Practice Address - State:NE
Practice Address - Zip Code:68039
Practice Address - Country:US
Practice Address - Phone:402-837-4076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider