Provider Demographics
NPI:1831125129
Name:JOYNER, SHARRI KHAY (NP)
Entity Type:Individual
Prefix:
First Name:SHARRI
Middle Name:KHAY
Last Name:JOYNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12201 BLUEGRASS PKWY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-2361
Mailing Address - Country:US
Mailing Address - Phone:502-568-7367
Mailing Address - Fax:502-568-7136
Practice Address - Street 1:236 JOHNSON FERRY RD NE STE 200
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-7402
Practice Address - Country:US
Practice Address - Phone:404-255-0666
Practice Address - Fax:404-705-9942
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN116666363LA2200X
FLARNP 2159472363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I508203OtherMEDICARE PTAN