Provider Demographics
NPI:1396399317
Name:JOYNER, NICOLE
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:JOYNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 N ROBIN HOOD RD
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34450-2042
Mailing Address - Country:US
Mailing Address - Phone:954-729-5434
Mailing Address - Fax:888-349-8679
Practice Address - Street 1:40 N ROBIN HOOD RD
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34450-2042
Practice Address - Country:US
Practice Address - Phone:954-729-5434
Practice Address - Fax:888-349-8679
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-29
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2472R0900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherRenal Dialysis