Provider Demographics
NPI:1912421553
Name:MILLER, JAYLIN BARKLEY (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JAYLIN
Middle Name:BARKLEY
Last Name:MILLER
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 E MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA
Mailing Address - State:LA
Mailing Address - Zip Code:70647-4008
Mailing Address - Country:US
Mailing Address - Phone:337-336-8155
Mailing Address - Fax:877-409-3286
Practice Address - Street 1:621 E MILLER AVE
Practice Address - Street 2:
Practice Address - City:IOWA
Practice Address - State:LA
Practice Address - Zip Code:70647-4008
Practice Address - Country:US
Practice Address - Phone:337-842-5199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-26
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN37363163W00000X
LA09517363LP2300X
LAAP09517363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAAP09517OtherCIGNA