Provider Demographics
NPI:1811201221
Name:GARNER, JOAN S (NP)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:S
Last Name:GARNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:S
Other - Last Name:DENERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3667 SCIOTO RUN BLVD
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-3019
Mailing Address - Country:US
Mailing Address - Phone:614-771-9189
Mailing Address - Fax:
Practice Address - Street 1:3667 SCIOTO RUN BLVD
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-3019
Practice Address - Country:US
Practice Address - Phone:614-771-9189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.11476-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily