Individual
JENICE MILJANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(724) 941-7144
(724) 941-7625
Mailing address
490 E NORTH AVE STE 300, PITTSBURGH, PA 15212-4771
(412) 322-7202
(412) 322-2144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016206
PA
363LF0000X
Family Nurse Practitioner
SP016206
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103240175
—
PA
01
—
13709298
CAQH
—
Enumeration date
08/19/2015
Last updated
02/27/2023
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