Provider Demographics
NPI:1144555293
Name:MISKOVIC, JOYCE MILLER (CRNP)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:MILLER
Last Name:MISKOVIC
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:11200 GUNDRY LN
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6254
Mailing Address - Country:US
Mailing Address - Phone:443-471-2499
Mailing Address - Fax:443-471-3477
Practice Address - Street 1:11200 GUNDRY LN
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-6254
Practice Address - Country:US
Practice Address - Phone:443-471-2499
Practice Address - Fax:443-471-3477
Is Sole Proprietor?:No
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR086491363LA2200X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health