Vissage, Joyce

Vissage, Joyce is an individual health care provider with primary practice located at 457-B Hwy 123 Bypass , Seneca SC 29678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Vissage, Joyce can be contacted via phone (864) 888-4464.

Contact Information

Primary practice address
457-B Hwy 123 Bypass Seneca SC 29678
Fax: (864) 888-4462
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X P2224 South Carolina

Profile Details

NPI number 1124091657
LBN Legal business name Vissage, Joyce
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jun 21st, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124091657 NPPES
South Carolina MEDICAID RHC195
South Carolina MEDICAID GP1060

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