Provider Demographics
NPI:1861558249
Name:STEWART-BORDERS, JOYCE C (CNP)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:C
Last Name:STEWART-BORDERS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:C
Other - Last Name:BORDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 N 8TH ST
Mailing Address - Street 2:SUITE 238
Mailing Address - City:EAST SAINT LOUIS
Mailing Address - State:IL
Mailing Address - Zip Code:62201-2989
Mailing Address - Country:US
Mailing Address - Phone:618-274-9105
Mailing Address - Fax:618-274-9101
Practice Address - Street 1:100 N 8TH ST
Practice Address - Street 2:SUITE 238
Practice Address - City:EAST SAINT LOUIS
Practice Address - State:IL
Practice Address - Zip Code:62201-2989
Practice Address - Country:US
Practice Address - Phone:618-274-9105
Practice Address - Fax:618-274-9101
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041227301163W00000X
MO140095163W00000X, 363L00000X
IL209004956363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner