Doctor Name: | JANIS DEANN MILLER |
NPI Number: | 1356401335 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 71002505A |
Business Practice Address: | 302 North Mill Street Greenup, IL - 62428 |
Business Phone Number: | 2179233311 |
Business Fax Number: | 2179235160 |
Mailing Address: | 302 North Mill Street, GREENUP |
State: | IL |
Postal Code: | 62428 |
Phone Number: | 2179233311 |
Fax Number: | 2179235160 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 11/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71002505A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |