MEDICARE: DR. JANELLE MARIE MILSTEAD DO

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
1	2084P0800X	Psychiatry Physician	0102208843	VA

General Provider Information

NPI Number	:	1326431271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANELLE MARIE MILSTEAD DO

Provider Business Mailing Address
First Line	:	1080 FIRST COLONIAL RD STE 403
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2406
Country	:	US
Telephone Number	:	757-395-1850
Fax Number	:	855-707-7855

Provider Business Practice Location Address
First Line	:	1080 FIRST COLONIAL RD STE 403
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2406
Country	:	US
Telephone Number	:	757-395-1850
Fax Number	:	855-707-7855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2015
Last Update Date	:	05/26/2026

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