IndividualActive
Joyce Brake
NPI 1336404185 · Licensed Practical Nurse · Fredericktown, OH
Provider details
- NPI number
- 1336404185
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PN 089562 IV (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
17 S Mulberry St
Fredericktown, OH 43019-1210
Phone: (740) 507-0927
Approximate (ZIP-level) locationGet directions
Mailing address
17 S Mulberry St
Fredericktown, OH 43019-1210
Registry dates
- Enumerated
- 2012-07-09
- Last updated
- 2012-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.