Provider Demographics
NPI:1184659815
Name:JOINES, LORI JANENE (APRN,BC)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:JANENE
Last Name:JOINES
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-1726
Mailing Address - Country:US
Mailing Address - Phone:931-783-5582
Mailing Address - Fax:931-526-6760
Practice Address - Street 1:100 W 4TH ST STE 350
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4225
Practice Address - Country:US
Practice Address - Phone:931-783-2753
Practice Address - Fax:931-783-2036
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN 72468363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6059324OtherBCBS - TIN: 62-6002166
TNQ019281Medicaid
TN6075755OtherBCBS - CRMG TIN: 200992504
KY7100411000Medicaid