Provider Demographics
NPI:1205408176
Name:JOINER, PRISCILLA PARKER (MSNC, APRN, CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:PARKER
Last Name:JOINER
Suffix:
Gender:F
Credentials:MSNC, APRN, CPNP-PC
Other - Prefix:MRS
Other - First Name:PRISCILLA
Other - Middle Name:PARKER
Other - Last Name:JOINER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSNC, APRN, CPNP-PC
Mailing Address - Street 1:22461 INTERSTATE 30 STE 402
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-2383
Mailing Address - Country:US
Mailing Address - Phone:501-481-8800
Mailing Address - Fax:501-500-6382
Practice Address - Street 1:22461 INTERSTATE 30 STE 402
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-2383
Practice Address - Country:US
Practice Address - Phone:501-590-0934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR216607363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics