Provider Demographics
NPI:1447599014
Name:BENJAMIN, JOYCE LUCILLE (RN,MSN,FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:LUCILLE
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:RN,MSN,FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15658 W WHITTON AVE
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-8526
Mailing Address - Country:US
Mailing Address - Phone:602-206-5210
Mailing Address - Fax:
Practice Address - Street 1:15658 W WHITTON AVE
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-8526
Practice Address - Country:US
Practice Address - Phone:602-206-5210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-02
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4859363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily