Provider Demographics
NPI:1558976977
Name:MILLER-LOYD, JUSTINA HOA (NP)
Entity Type:Individual
Prefix:MRS
First Name:JUSTINA
Middle Name:HOA
Last Name:MILLER-LOYD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:JUSTINA
Other - Middle Name:HOA
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1420 SHAW AVE STE 102319
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-4072
Mailing Address - Country:US
Mailing Address - Phone:559-862-6029
Mailing Address - Fax:
Practice Address - Street 1:2755 HERNDON AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-6800
Practice Address - Country:US
Practice Address - Phone:559-862-2069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014869363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care