MRS. JOY SUSAN PENDERGRASS FNP,BC
NPI 1639561160
Nurse Practitioner - Family in Fernandina Beach, FL

Q: What is Joy Pendergrass's NPI number?

The NPI number for Joy Pendergrass is 1639561160. It was assigned to this individual provider in the NPPES registry on February 20, 2015.

Q: What is Joy Pendergrass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Joy Pendergrass was last updated on February 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 20, 2015

536 SPANISH WAY W, FERNANDINA BEACH, FL 32034(904) 310-9468 Get Directions Write a Review

NPPES record last updated: February 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Joy Susan Pendergrass Fnp,bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JOY SUSAN PENDERGRASS FNP,BC (NPI 1639561160) is an individual family provider in Fernandina Beach, Florida, licensed in Florida (9364981) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1639561160

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JOY SUSAN PENDERGRASSCredential: FNP,BC

Location Address536 SPANISH WAY WFernandina Beach, FL 32034-9244

Mailing Address536 Spanish Way WFernandina Beach, FL 32034-9244 · (904) 310-9468

Phone(904) 310-9468

Sole ProprietorYes

Enumeration DateFebruary 20, 2015

✔ NPI 1639561160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 9364981

536 SPANISH WAY W, Fernandina Beach, FL 32034

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joy Pendergrass's NPI number?

The NPI number for Joy Pendergrass is 1639561160. It was assigned to this individual provider in the NPPES registry on February 20, 2015.

Where is Joy Pendergrass located?

Joy Pendergrass practices at 536 Spanish Way W, Fernandina Beach, FL 32034. The listed phone number is (904) 310-9468.

What is Joy Pendergrass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Joy Pendergrass was last updated on February 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.