Provider Demographics
NPI:1043684491
Name:JOERNS LLC - PENSACOLA
Entity type:Organization
Organization Name:JOERNS LLC - PENSACOLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR COUNSEL AND CCO
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-249-0663
Mailing Address - Street 1:2430 WHITEHALL PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-3948
Mailing Address - Country:US
Mailing Address - Phone:818-428-3846
Mailing Address - Fax:800-232-9796
Practice Address - Street 1:3985 N 'W' STREET
Practice Address - Street 2:UNITS 25 AND 26
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-4068
Practice Address - Country:US
Practice Address - Phone:808-428-3846
Practice Address - Fax:800-232-9796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies