Miller, Joanna L

Miller, Joanna L is an individual health care provider with primary practice located at 90 Jackson Pike , Gallipolis OH 45631-1560. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Miller, Joanna L can be contacted via phone (740) 446-5371.

Contact Information

Primary practice address
90 Jackson Pike Gallipolis OH 45631-1560
Phone: (740) 446-5371
Fax: (740) 446-5711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.12558 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12558-NP Ohio

Profile Details

NPI number 1073894242
LBN Legal business name Miller, Joanna L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2011
Last updated Nov 5th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073894242 NPPES
West Virginia MEDICAID 3810021497
West Virginia MEDICAID 0054878
West Virginia Other 310917085268
West Virginia Other 0054878
West Virginia Other 000000471781

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