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Individual

JOANNA L MILLER

Active
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Individual

JOANNA L MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12558-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.12558
OH
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.12558
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000471781
OHIO MEDICAID UNISON
OH
01
0054878
OH MEDICAID MOLINA
OH
05
0054878
OH
01
310917085268
OH MEDICAID CARESOURCE
OH
05
3810021497
WV
Enumeration date
09/01/2011
Last updated
07/30/2026
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