Individual
JANELLE A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8402 HARCOURT RD, INDIANAPOLIS, IN 46260-2074
(317) 338-5288
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002708A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200911380
—
IN
Enumeration date
08/14/2008
Last updated
10/16/2008
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