Healthcare Provider Details

I. General information

NPI: 1053735753
Provider Name (Legal Business Name): MINDY BISHOP JOYNER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2014
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 WELLSTAR WAY STE 201
HOLLY SPRINGS GA
30114-9086
US

IV. Provider business mailing address

1120 WELLSTAR WAY STE 201
HOLLY SPRINGS GA
30114-9086
US

V. Phone/Fax

Practice location:
  • Phone: 470-267-0152
  • Fax:
Mailing address:
  • Phone: 470-267-0152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN187563
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: