MEDICARE: SIMONE JOURDAINE MILLER L.P.N.

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	164W00000X	Licensed Practical Nurse	131941	OH

General Provider Information

NPI Number	:	1386885143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMONE JOURDAINE MILLER L.P.N.

Provider Business Mailing Address
First Line	:	493 TOWSON DR NW
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44483-1734
Country	:	US
Telephone Number	:	330-442-5956
Fax Number	:

Provider Business Practice Location Address
First Line	:	493 TOWSON DR NW
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44483-1734
Country	:	US
Telephone Number	:	330-442-5956
Fax Number	:

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

Provider Enumeration Date	:	03/09/2009
Last Update Date	:	03/09/2009

Similar Medicare Providers

1205822517 — CRESTWOOD NURSING AND CONVALESCENT HOME INC
Practice Location Address:

568 CHILD ST
WARREN, RI
02885-1734

Practice Phone: 401-245-1574
Practice Fax: 401-247-0211

1811035363 — DR. CLARIBEL UY DDS
Practice Location Address:

4011 WARREN ST
ELMHURST, NY
11373-1734

Practice Phone: 718-426-2105
Practice Fax:

1699983585 — DR. VIVIANE MARIE ANNE ETIENNE M.D
Practice Location Address:

4011 WARREN ST
ELMHURST, NY
11373-1734

Practice Phone: 718-651-7175
Practice Fax:

1437665544 — TODD MATTHEW HEIKKINEN
Practice Location Address:

1734 N WARREN AVE
MILWAUKEE, WI
53202-1617

Practice Phone: 414-467-6284
Practice Fax:

1750915476 — CRESTWOOD HEALTHCARE LLC
Practice Location Address:

568 CHILD ST
WARREN, RI
02885-1734

Practice Phone: 401-245-1574
Practice Fax:

1932066511 — DARRYL LEE RODGERS SR.
Practice Location Address:

881 FAIRWAY DR NE
WARREN, OH
44483-5637

Practice Phone: 330-984-2012
Practice Fax:

Directions to “ SIMONE JOURDAINE MILLER L.P.N.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.