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NPI Code Detail

MEDICARE: JANALYNN MILLER NP

MEDICARE: JANALYNN MILLER NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner71000479IN

General Provider Information

NPI Number : 1669492385
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANALYNN MILLER NP
Provider Business Mailing Address
First Line : 11109 PARKVIEW PLAZA DR # 117
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1655 N CASS ST
Second Line :
City : WABASH
State : IN
Zip : 46992-9416
Country : US
Telephone Number : 260-569-2983
Fax Number : 260-569-2990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 11/03/2025

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