MEDICARE: MRS. AERIAN KRISTINA JOYNER NP-C

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	363LF0000X	Family Nurse Practitioner	0024169404	VA

General Provider Information

NPI Number	:	1285928135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AERIAN KRISTINA JOYNER NP-C

Provider Business Mailing Address
First Line	:	3415 GRANBY ST
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23504-1421
Country	:	US
Telephone Number	:	757-533-9108
Fax Number	:	757-622-6381

Provider Business Practice Location Address
First Line	:	3415 GRANBY ST
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23504-1421
Country	:	US
Telephone Number	:	757-533-9108
Fax Number	:	757-622-6381

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

Provider Enumeration Date	:	06/07/2011
Last Update Date	:	06/07/2011

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