Basic Information
| Provider Information | |||||||||
| NPI: | 1861558249 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEWART-BORDERS | ||||||||
| FirstName: | JOYCE | ||||||||
| MiddleName: | C. | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CNP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | BORDERS | ||||||||
| OtherFirstName: | JOYCE | ||||||||
| OtherMiddleName: | C. | ||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 100 N 8TH ST | ||||||||
| Address2: | SUITE 238 | ||||||||
| City: | EAST SAINT LOUIS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 622012989 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6182749105 | ||||||||
| FaxNumber: | 6182749101 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 N 8TH ST | ||||||||
| Address2: | SUITE 238 | ||||||||
| City: | EAST SAINT LOUIS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 622012989 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6182749105 | ||||||||
| FaxNumber: | 6182749101 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/29/2006 | ||||||||
| LastUpdateDate: | 12/04/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 041227301 | IL | N | Nursing Service Providers | Registered Nurse | 163W00000X | 140095 | MO | N | Nursing Service Providers | Registered Nurse | 363L00000X | 140095 | MO | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LW0102X | 209004956 | IL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
No ID Information.