Provider Demographics
NPI:1578934899
Name:MILLER, JOEL ANDREW JAMES (ACNP)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:ANDREW JAMES
Last Name:MILLER
Suffix:
Gender:M
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3 MOBILE INFIRMARY CIRCLE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607
Mailing Address - Country:US
Mailing Address - Phone:251-435-7299
Mailing Address - Fax:251-435-7282
Practice Address - Street 1:3 MOBILE INFIRMARY CIR
Practice Address - Street 2:SUITE 308
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3520
Practice Address - Country:US
Practice Address - Phone:251-435-7299
Practice Address - Fax:251-435-7282
Is Sole Proprietor?:No
Enumeration Date:2015-10-13
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-132399363LA2100X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology