Provider Demographics
NPI:1588103246
Name:MARSHALL URGENT CARE
Entity type:Organization
Organization Name:MARSHALL URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:J
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:CFNP
Authorized Official - Phone:662-274-3218
Mailing Address - Street 1:1696 CRESCENT MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38635-7415
Mailing Address - Country:US
Mailing Address - Phone:662-274-3218
Mailing Address - Fax:
Practice Address - Street 1:1696 CRESCENT MEADOWS DR
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38635-7415
Practice Address - Country:US
Practice Address - Phone:662-274-3218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty