Healthcare Provider Details

I. General information

NPI: 1285078873
Provider Name (Legal Business Name): JENNIFER JOYNER APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2013
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 N IH 35 STE 770
AUSTIN TX
78705-1853
US

IV. Provider business mailing address

4900 MUELLER BLVD
AUSTIN TX
78723-3079
US

V. Phone/Fax

Practice location:
  • Phone: 818-212-8377
  • Fax:
Mailing address:
  • Phone: 512-324-0000
  • Fax: 512-324-0721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP122374
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberP0192116
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: