Provider Demographics
NPI:1073050662
Name:JOINER, IVONNE RIVERA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:IVONNE
Middle Name:RIVERA
Last Name:JOINER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:IVONNE
Other - Middle Name:MARIE
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:115 W GRAND AVE STE 90
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-3268
Mailing Address - Country:US
Mailing Address - Phone:256-442-6400
Mailing Address - Fax:256-442-0059
Practice Address - Street 1:115 W GRAND AVE STE 90
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-3268
Practice Address - Country:US
Practice Address - Phone:256-442-6400
Practice Address - Fax:256-442-0059
Is Sole Proprietor?:No
Enumeration Date:2017-01-20
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF0916080363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner