Provider Demographics
NPI:1710575295
Name:JOINER, CHRISTINE RENE (APRN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:RENE
Last Name:JOINER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6398 IOLA LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62858-2089
Mailing Address - Country:US
Mailing Address - Phone:618-572-3331
Mailing Address - Fax:
Practice Address - Street 1:6398 IOLA LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:IL
Practice Address - Zip Code:62858-2089
Practice Address - Country:US
Practice Address - Phone:618-572-3331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-09
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209022487363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily