Basic Information
| Provider Information | |||||||||
| NPI: | 1346634888 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JOINER | ||||||||
| FirstName: | DAWN | ||||||||
| MiddleName: | TAYLOR | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1860 CHADWICK DR | ||||||||
| Address2: | |||||||||
| City: | JACKSON | ||||||||
| State: | MS | ||||||||
| PostalCode: | 392043463 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6013761394 | ||||||||
| FaxNumber: | 6013761840 | ||||||||
| Practice Location | |||||||||
| Address1: | 1860 CHADWICK DR | ||||||||
| Address2: | |||||||||
| City: | JACKSON | ||||||||
| State: | MS | ||||||||
| PostalCode: | 392043463 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6013761394 | ||||||||
| FaxNumber: | 6013761840 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2015 | ||||||||
| LastUpdateDate: | 08/19/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/19/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | F0215131 | MS | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.