Provider Demographics
NPI:1932333291
Name:JOYNER, AMBER NOBLES (NP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:NOBLES
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 1:1707 MEADOWS LN STE G
Mailing Address - Street 2:
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30474-7201
Mailing Address - Country:US
Mailing Address - Phone:912-535-5120
Mailing Address - Fax:912-535-2015
Practice Address - Street 1:1707 MEADOWS LN
Practice Address - Street 2:SUITE C
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-7200
Practice Address - Country:US
Practice Address - Phone:912-537-3384
Practice Address - Fax:912-537-3351
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN155568NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA320927728AMedicaid