Provider Demographics
NPI:1508239526
Name:JOYNER, ROSE MARY (AGPCNP)
Entity Type:Individual
Prefix:MS
First Name:ROSE
Middle Name:MARY
Last Name:JOYNER
Suffix:
Gender:F
Credentials:AGPCNP
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:MARY
Other - Last Name:JOYNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:8022 RUTLAND VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2971
Mailing Address - Country:US
Mailing Address - Phone:804-921-3354
Mailing Address - Fax:
Practice Address - Street 1:230 BROWNS WAY RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-9501
Practice Address - Country:US
Practice Address - Phone:804-419-9101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-13
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172802363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology