Provider Demographics
NPI:1407493703
Name:WILLIAMS- JOYNER, DELL MARIE (LPN)
Entity Type:Individual
Prefix:
First Name:DELL
Middle Name:MARIE
Last Name:WILLIAMS- JOYNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:DELL
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:PO BOX 1484
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-5484
Mailing Address - Country:US
Mailing Address - Phone:410-845-9312
Mailing Address - Fax:
Practice Address - Street 1:402 MUIR ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1979
Practice Address - Country:US
Practice Address - Phone:410-845-9312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL2-0011914164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse