Provider Demographics
NPI:1528878204
Name:O'CONNELL, JOYCE LADONNE
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:LADONNE
Last Name:O'CONNELL
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 1:12191 UDALL RD
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:OH
Mailing Address - Zip Code:44234-9780
Mailing Address - Country:US
Mailing Address - Phone:330-569-7824
Mailing Address - Fax:
Practice Address - Street 1:12191 UDALL RD
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:OH
Practice Address - Zip Code:44234-9780
Practice Address - Country:US
Practice Address - Phone:330-569-7824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion