NPI 1003061409

Joie Devivre

Organisation Family Medicine Physician Bloomington, IN

Practice location

Address: 1535 Piazza Drive, Bloomington, IN 47401
Phone: (812) 334-2772

Authorised official

Name: Lisa J Jerrells
Title: MD
Phone: (812) 334-2772

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 01052568A (IN)

Other Family Medicine providers in Indiana →

Registry record

NPI: 1003061409
Entity type: Organization
NPI issued: 26 Nov 2008
Record last updated: 26 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.