MEDICARE: NANCY JOYNER APRN BC

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	364S00000X	Clinical Nurse Specialist	R18451	ND

General Provider Information

NPI Number	:	1427070002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY JOYNER APRN BC

Provider Business Mailing Address
First Line	:	702 BELMONT RD
Second Line	:
City	:	GRAND FORKS
State	:	ND
Zip	:	58201-4910
Country	:	US
Telephone Number	:	701-746-4728
Fax Number	:

Provider Business Practice Location Address
First Line	:	702 BELMONT RD
Second Line	:
City	:	GRAND FORKS
State	:	ND
Zip	:	58201-4910
Country	:	US
Telephone Number	:	701-746-4728
Fax Number	:

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	09/02/2014

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