Miller, Joanna Lynn

Miller, Joanna Lynn is an individual health care provider with primary practice located at 43300 Southern Walk Plaza, Suite 100 , Broadlands VA 20148-4463. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Miller, Joanna Lynn can be contacted via phone (571) 252-7353.

Contact Information

Primary practice address
43300 Southern Walk Plaza, Suite 100 Broadlands VA 20148-4463
Phone: (571) 252-7353
Fax: (571) 223-5340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110008295 Virginia

Profile Details

NPI number 1083120695
LBN Legal business name Miller, Joanna Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2017
Last updated Jan 10th, 2024 - about 2 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 1083120695 NPPES
Virginia MEDICAID 1083120695

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