MEDICARE: DR. GLENDA LEE JOINER-ROGERS PHD, RN, CNS

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	364SA2200X	Adult Health Clinical Nurse Specialist	462180	TX

General Provider Information

NPI Number	:	1265477947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GLENDA LEE JOINER-ROGERS PHD, RN, CNS

Provider Business Mailing Address
First Line	:	4107 MEDICAL PARKWAY #210
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-3738
Country	:	US
Telephone Number	:	512-451-4488
Fax Number	:	512-453-2707

Provider Business Practice Location Address
First Line	:	4107 MEDICAL PARKWAY #210
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-3738
Country	:	US
Telephone Number	:	512-451-4488
Fax Number	:	512-453-2707

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

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	01/21/2016

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