Individual
JOANNIE JEANETTE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
281 W 24TH ST STE 134, YUMA, AZ 85364-8564
(928) 919-7080
Mailing address
PO BOX 298, LAKESIDE, OR 97449-0298
(541) 419-2645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200250124NP FNP PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000840
—
OR
01
—
P00259333
RAILROAD MEDICARE
OR
Enumeration date
12/08/2006
Last updated
03/05/2025
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