Provider Demographics
NPI:1033773973
Name:JOYNER, SHIRLEY A (CNA)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:A
Last Name:JOYNER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 INWOOD PL
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-4170
Mailing Address - Country:US
Mailing Address - Phone:470-319-0941
Mailing Address - Fax:
Practice Address - Street 1:2911 INWOOD PL
Practice Address - Street 2:
Practice Address - City:HEPHZIBAH
Practice Address - State:GA
Practice Address - Zip Code:30815-4170
Practice Address - Country:US
Practice Address - Phone:470-319-0941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0030019004374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty