Basic Information
Provider Information
NPI: 1558799346
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOYNER
FirstName: DELISHA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 751069
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282751069
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 600 MOYE BLVD
Address2:  
City: GREENVILLE
State: NC
PostalCode: 278344300
CountryCode: US
TelephoneNumber: 2527442350
FaxNumber: 2527445348
Other Information
ProviderEnumerationDate: 10/15/2013
LastUpdateDate: 12/07/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/07/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X5006524NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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