Pendergrass, Joy Susan

Pendergrass, Joy Susan is an sole proprietor health care provider with primary practice located at 536 Spanish Way W , Fernandina Beach FL 32034-9244. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pendergrass, Joy Susan can be contacted via phone (904) 310-9468.

Contact Information

Primary practice address
536 Spanish Way W Fernandina Beach FL 32034-9244
Phone: (904) 310-9468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9364981 Florida

Profile Details

NPI number 1639561160
LBN Legal business name Pendergrass, Joy Susan
Credentials FNP,BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2015
Last updated Feb 20th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers