Doctor Name: | JEANNE MARIE MILLETT |
NPI Number: | 1881608925 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F400854 |
Business Practice Address: | 848 State Route 50 Burnt Hills, NY - 120279511 |
Business Phone Number: | 5188311500 |
Business Fax Number: | |
Mailing Address: | 848 State Route 50, BURNT HILLS |
State: | NY |
Postal Code: | 120279511 |
Phone Number: | 5188311500 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 06/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | F400854 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |