Provider Demographics
NPI:1841231313
Name:MILLER, JANETTE LEE (NP)
Entity Type:Individual
Prefix:MS
First Name:JANETTE
Middle Name:LEE
Last Name:MILLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:JANETTE
Other - Middle Name:LEE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:41 PARK CREEK DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-4270
Mailing Address - Country:US
Mailing Address - Phone:864-299-1600
Mailing Address - Fax:864-583-5715
Practice Address - Street 1:41 PARK CREEK DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4270
Practice Address - Country:US
Practice Address - Phone:317-289-1233
Practice Address - Fax:864-583-5715
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000275A363LF0000X
SC17979363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily