Basic Information
| Provider Information | |||||||||
| NPI: | 1366418717 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILLER | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | BAILEY | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 310 AVON ST | ||||||||
| Address2: | STE 9 | ||||||||
| City: | CHARLOTTESVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229025750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4348171818 | ||||||||
| FaxNumber: | 4348179606 | ||||||||
| Practice Location | |||||||||
| Address1: | 310 AVON ST | ||||||||
| Address2: | STE 9 | ||||||||
| City: | CHARLOTTESVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229025750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4348171818 | ||||||||
| FaxNumber: | 4348179606 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2006 | ||||||||
| LastUpdateDate: | 04/13/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0024169374 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.