Healthcare Provider Details

I. General information

NPI: 1225454432
Provider Name (Legal Business Name): KARI JOYNER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2014
Last Update Date: 06/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 SOUTH 7TH STREET
MCBEE SC
29101
US

IV. Provider business mailing address

PO BOX 1437 PO BOX 366
CAMDEN SC
29021-1437
US

V. Phone/Fax

Practice location:
  • Phone: 843-335-8291
  • Fax: 843-335-8731
Mailing address:
  • Phone: 803-424-1260
  • Fax: 803-424-1230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number18682
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: