Provider Demographics
NPI:1033960117
Name:MILLER, JOYCE JENELL
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:JENELL
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 SLONAKER LN
Mailing Address - Street 2:
Mailing Address - City:BERKELEY SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:25411-7575
Mailing Address - Country:US
Mailing Address - Phone:443-779-6379
Mailing Address - Fax:
Practice Address - Street 1:106 SAND MINE RD
Practice Address - Street 2:
Practice Address - City:BERKELEY SPRINGS
Practice Address - State:WV
Practice Address - Zip Code:25411-7457
Practice Address - Country:US
Practice Address - Phone:304-258-3096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant