Doctor Name: | MRS. SHIRLEY MILLARD-JONES |
NPI Number: | 1356307128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | NP100442 |
Business Practice Address: | Va Maryland Health Care System Building 9h, Room 211 Perry Point, MD - 21902 |
Business Phone Number: | 4106422411 |
Business Fax Number: | 4106421855 |
Mailing Address: | 300 Blackbird Ct, EDGEWOOD |
State: | MD |
Postal Code: | 210403611 |
Phone Number: | 4106763918 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | NP100442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |