| Joanna L Miller, FNP | |
|
90 Jackson Pike, Gallipolis, OH 45631-1560 | |
| (740) 446-5371 | |
| (740) 446-5711 |
| Full Name | Joanna L Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 90 Jackson Pike, Gallipolis, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073894242 | NPI | - | NPPES |
| 3810021497 | Medicaid | WV | |
| 0054878 | Medicaid | OH | |
| 310917085268 | Other | OH | OH MEDICAID CARESOURCE |
| 0054878 | Other | OH | OH MEDICAID MOLINA |
| 000000471781 | Other | OH | OHIO MEDICAID UNISON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN.CNP.12558 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 12558-NP (Ohio) | Primary |
| Entity Name | Holzer Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna L Miller, FNP 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5371 | Joanna L Miller, FNP 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5371 |
Spencer Kissel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1284 State Route 160, Gallipolis, OH 45631 Phone: 912-409-8533 | |
Paulette L Flinner, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 995 Jackson Pike, Gallipolis, OH 45631 Phone: 740-578-4824 | |
Kayla Shato, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 | |
Kerry Dill, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5000 | |
Angela Faith Arnold, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5000 | |
Megan Grace Lunsford, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5131 Fax: 740-446-5486 |