MS. JOHNETTA MINER NP NPI 1285624106

NPI Information

  • NPI: 1285624106
  • Provider Name: MS. JOHNETTA MINER, NP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 140 DARROW PL
    SUITE 16B
    BRONX, NY
    ZIP 10475
  • Phone: (718) 379-1290

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NPI Details

MS. Johnetta Miner, NP is a women's health nurse practitioner in Bronx, NY. MS. Johnetta Miner, NP NPI is 1285624106. 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:

140 DARROW PL
SUITE 16B
BRONX, NY
ZIP 10475-802
Phone: (718) 379-1290
Fax: (718) 379-8597

The enumeration date for this NPI number is 10/22/2005 and was last updated on 10/27/2010.

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
1363LW0102XNurse PractitionerWomen's HealthF420329-1NEW YORKYes

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
1S87741MEDICARE UPINNEW YORK
202241798MEDICAIDNEW YORK

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: 11/21/2025

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