MEDICARE: STEPHANIE ELLIS JOYNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	72996	NC

General Provider Information

NPI Number	:	1871445767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ELLIS JOYNER

Provider Business Mailing Address
First Line	:	2611 HOSPITAL RD
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-9424
Country	:	US
Telephone Number	:	919-583-9329
Fax Number	:

Provider Business Practice Location Address
First Line	:	2611 HOSPITAL RD
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-9424
Country	:	US
Telephone Number	:	919-583-9329
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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