MEDICARE: ANTONIO JOYNER

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1278638	VA

General Provider Information

NPI Number	:	1770439671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONIO JOYNER

Provider Business Mailing Address
First Line	:	3400 COLUMBIA PIKE APT 516
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1598
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 COLUMBIA PIKE APT 516
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1598
Country	:	US
Telephone Number	:	757-392-6780
Fax Number	:

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

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “ ANTONIO JOYNER ” Practice Location

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