| Doctor Name: | JOANNIE J MILLER |
| NPI Number: | 1740349430 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 200250124NP FNP PP |
| Business Practice Address: | 51375 S Huntington Rd La Pine, OR - 97739 |
| Business Phone Number: | 5415368060 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3389, LA PINE |
| State: | OR |
| Postal Code: | 977393389 |
| Phone Number: | 5415368060 |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2006 |
| NPI Last Update Date: | 10/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 200250124NP FNP PP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |