Provider Demographics
NPI:1629458740
Name:WEST-MILES, JEANNA DEL VECCHIO (DO)
Entity Type:Individual
Prefix:DR
First Name:JEANNA
Middle Name:DEL VECCHIO
Last Name:WEST-MILES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:JEANNA
Other - Middle Name:MARLENE
Other - Last Name:DEL VECCHIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:673RD MDG
Mailing Address - Street 2:5955 ZEAMER AVENUE
Mailing Address - City:JBER
Mailing Address - State:AK
Mailing Address - Zip Code:99506
Mailing Address - Country:US
Mailing Address - Phone:907-580-2546
Mailing Address - Fax:
Practice Address - Street 1:673RD MDG
Practice Address - Street 2:5955 ZEAMER AVE
Practice Address - City:JBER
Practice Address - State:AK
Practice Address - Zip Code:99506
Practice Address - Country:US
Practice Address - Phone:907-580-2546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-03
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE16152084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology