Healthcare Provider Details

I. General information

NPI: 1225962657
Provider Name (Legal Business Name): HANNAH STOVALL JOYNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 COLLEGE DR
MERIDIAN MS
39307-5345
US

IV. Provider business mailing address

18430 HIGHWAY 21 S
PHILADELPHIA MS
39350-2353
US

V. Phone/Fax

Practice location:
  • Phone: 601-483-4821
  • Fax:
Mailing address:
  • Phone: 601-562-2501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number899019
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: