Provider Demographics
NPI:1932819703
Name:MILNER, DANETTE KERRY (APRN)
Entity Type:Individual
Prefix:
First Name:DANETTE
Middle Name:KERRY
Last Name:MILNER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4329 BYLSMA CIR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32404-1812
Mailing Address - Country:US
Mailing Address - Phone:850-257-1591
Mailing Address - Fax:
Practice Address - Street 1:4329 BYLSMA CIR
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32404-1812
Practice Address - Country:US
Practice Address - Phone:850-257-1591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11023233363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily