Individual
JOANNA LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
43300 SOUTHERN WALK PLAZA, SUITE 100, BROADLANDS, VA 20148-4463
(571) 252-7353
(571) 223-5340
Mailing address
258 W MEADOWLAND LN, STERLING, VA 20164-1141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008295
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083120695
—
VA
Enumeration date
12/19/2017
Last updated
01/10/2024
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