Provider Demographics
NPI:1699080184
Name:HULL, JOYCE ELAINE-BLACKMER (RN)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:ELAINE-BLACKMER
Last Name:HULL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3879 SHAWNEE TRL
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45335-1156
Mailing Address - Country:US
Mailing Address - Phone:937-675-2185
Mailing Address - Fax:
Practice Address - Street 1:3879 SHAWNEE TRL
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:OH
Practice Address - Zip Code:45335-1156
Practice Address - Country:US
Practice Address - Phone:937-675-2185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.304689163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse