Provider Demographics
NPI:1740453562
Name:JOINER, TERESA VICTORIA (ARNP)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:VICTORIA
Last Name:JOINER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9404 BLACK POWDER CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40228-3414
Mailing Address - Country:US
Mailing Address - Phone:502-231-4705
Mailing Address - Fax:
Practice Address - Street 1:9404 BLACK POWDER CT
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40228-3414
Practice Address - Country:US
Practice Address - Phone:502-231-4705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-13
Last Update Date:2008-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5067P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily