Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP04555 | LA |
NPI | 1164579116 |
---|---|
Provider Name | Holly Joiner |
First Address | West Monroe, LA 71292-2150 |
Second Address | West Monroe, LA 71292-2150 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 21/02/2013 |