Individual provider · NPI-1
Joy Rochelle Herbst, FNP-C
Nurse Practitioner, Women's Health · Bridgeport, CT
NPI number1821247271
StatusActive
Last updated in NPPESJul 25, 2014
Details
- NPI
- 1821247271
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Joy Rochelle Herbst
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2008
- Last updated
- Jul 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | 3923 | CT | Yes |
| 363LF0000X | Nurse Practitioner, Family | F0708706 | CT | |
| 363LX0001X | Nurse Practitioner, Obstetrics & Gynecology | 3923 | CT |
Practice location
46 Albion StSouthwest Community Health Center, INC
Bridgeport, CT 06605
Phone 203-330-6000
Mailing address
62 Far Horizons DrShelton, CT 06484-1708
Phone 203-926-0484
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