Provider Demographics
NPI:1265477947
Name:JOINER-ROGERS, GLENDA LEE (PHD, RN, CNS)
Entity type:Individual
Prefix:DR
First Name:GLENDA
Middle Name:LEE
Last Name:JOINER-ROGERS
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Gender:F
Credentials:PHD, RN, CNS
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Mailing Address - Street 1:4107 MEDICAL PARKWAY #210
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-3738
Mailing Address - Country:US
Mailing Address - Phone:512-451-4488
Mailing Address - Fax:512-453-2707
Practice Address - Street 1:4107 MEDICAL PARKWAY #210
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-3738
Practice Address - Country:US
Practice Address - Phone:512-451-4488
Practice Address - Fax:512-453-2707
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2016-01-21
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Provider Licenses
StateLicense IDTaxonomies
TX462180364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health