JOANNA L MILLER FNP NPI 1073894242

NPI Information

NPI: 1073894242
Provider Name: JOANNA L MILLER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
90 JACKSON PIKE
GALLIPOLIS, OH
ZIP 45631
Phone: (740) 446-5371
Get Directions

Joanna L Miller, FNP is a family nurse practitioner in Gallipolis, OH. Joanna L Miller, FNP NPI is 1073894242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

90 JACKSON PIKE
GALLIPOLIS, OH
ZIP 45631-560
Phone: (740) 446-5371
Fax: (740) 446-5711

The NPI 1073894242 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2011 and was last updated on 11/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	12558-NP	OHIO	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	APRN.CNP.12558	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0054878	MEDICAID	OHIO
2	310917085268	OTHER	OHIO	OH MEDICAID CARESOURCE
3	000000471781	OTHER	OHIO	OHIO MEDICAID UNISON
4	0054878	OTHER	OHIO	OH MEDICAID MOLINA
5	3810021497	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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