Provider Demographics
NPI:1588334361
Name:PARKER JOINER PEDIATRIC APRN SERVICES PLLC
Entity type:Organization
Organization Name:PARKER JOINER PEDIATRIC APRN SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:PARKER
Authorized Official - Last Name:JOINER
Authorized Official - Suffix:
Authorized Official - Credentials:MSNC, APRN, CPNP-PC
Authorized Official - Phone:501-590-0934
Mailing Address - Street 1:210 S LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-4022
Mailing Address - Country:US
Mailing Address - Phone:501-590-0934
Mailing Address - Fax:
Practice Address - Street 1:22461 INTERSTATE 30 STE 402
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-2383
Practice Address - Country:US
Practice Address - Phone:501-481-8800
Practice Address - Fax:501-500-6382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR12055408176OtherNPI