Provider Demographics
NPI:1922200716
Name:MILLMAN, JOSETTE MARIE (CS,NP)
Entity Type:Individual
Prefix:MS
First Name:JOSETTE
Middle Name:MARIE
Last Name:MILLMAN
Suffix:
Gender:F
Credentials:CS,NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7021 HAYCOCK RD APT M
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2318
Mailing Address - Country:US
Mailing Address - Phone:703-237-6807
Mailing Address - Fax:
Practice Address - Street 1:2405 I ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2206
Practice Address - Country:US
Practice Address - Phone:703-855-0396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN56624363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health