Provider Demographics
NPI:1922768365
Name:MILNER, JUNE L (RN, BSN)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:L
Last Name:MILNER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2517 ASHLAND TRACE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-8205
Mailing Address - Country:US
Mailing Address - Phone:770-330-3825
Mailing Address - Fax:
Practice Address - Street 1:2517 ASHLAND TRCE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-8205
Practice Address - Country:US
Practice Address - Phone:770-330-3825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-27
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN193126163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN193126OtherREGISTERED PROFESSIONAL NURSE