Provider Demographics
NPI:1851858047
Name:JAIME, JOY AVELINA (RN)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:AVELINA
Last Name:JAIME
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 1:12120 NEW WORLD DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6396
Mailing Address - Country:US
Mailing Address - Phone:915-329-2581
Mailing Address - Fax:
Practice Address - Street 1:12120 NEW WORLD DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6396
Practice Address - Country:US
Practice Address - Phone:915-329-2581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX815413163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse