Provider Demographics
NPI:1205157799
Name:JOYNER, ADRIENNE M (DPM)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:M
Last Name:JOYNER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1056 E RAINES RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-6337
Mailing Address - Country:US
Mailing Address - Phone:901-300-5777
Mailing Address - Fax:901-422-6092
Practice Address - Street 1:1056 E RAINES RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-6337
Practice Address - Country:US
Practice Address - Phone:901-300-5777
Practice Address - Fax:901-422-6092
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006238213ES0103X
TN733213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery