Provider Demographics
NPI:1881569705
Name:JOYNER, DARYL KENNETH JR
Entity type:Individual
Prefix:MR
First Name:DARYL
Middle Name:KENNETH
Last Name:JOYNER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22155 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-2177
Mailing Address - Country:US
Mailing Address - Phone:586-343-6914
Mailing Address - Fax:
Practice Address - Street 1:22155 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-2177
Practice Address - Country:US
Practice Address - Phone:586-343-6914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-09
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant