Terry B Joiner, FNP

Individual provider Active NPI Family Nurse Practitioner · Waynesboro, MS

NPI 1285702365 · NPPES record last updated Jun 22, 2010

Key facts

NPI
1285702365
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
R707473 (MS)
Practice address
1100A Cedar St
Waynesboro, MS 39367-2417
Phone
(601) 735-2351
Fax
(601) 735-9691
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R707473 MS Yes

Addresses

Primary practice location

1100A Cedar St
Waynesboro, MS 39367-2417

Mailing address

1100A Cedar St
Waynesboro, MS 39367-2417
Phone (601) 735-2351

Other identifiers

IdentifierTypeStateIssuer
02659819MedicaidMS

Other providers in Waynesboro, MS

All providers in Waynesboro, MS · Family Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.