Provider Demographics
NPI:1972976124
Name:LAND, JOYCELYN KENNEDY (APRN, DNP)
Entity type:Individual
Prefix:MRS
First Name:JOYCELYN
Middle Name:KENNEDY
Last Name:LAND
Suffix:
Gender:F
Credentials:APRN, DNP
Other - Prefix:DR
Other - First Name:JOYCELYN
Other - Middle Name:K
Other - Last Name:LAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:4615 FOREST DR STE 2
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-3168
Mailing Address - Country:US
Mailing Address - Phone:803-673-2392
Mailing Address - Fax:
Practice Address - Street 1:4615 FOREST DR STE 2
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-3168
Practice Address - Country:US
Practice Address - Phone:803-673-2392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-10
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN.19852363LA2100X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty