JACQUELYN PERRY MILLER (NPI# 1801166988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801166988 |
| Entity Type | Individual |
| Full Name | JACQUELYN PERRY MILLER |
| Credential | RN |
| Practice Address |
26317 West Washington Street Building 66 Petersburg VA 23842 |
| Mailing Address |
13504 Taylor Drive Disputanta VA 23842 |
| Practice Telephone | 8047224299 |
| Mailing Telephone | 8045141007 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001186020 | VA | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
0001186020 | VA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1609494780 | Jacquelyn Renee Miller | Advanced Practice Midwife | 1501 Tate Blvd Se Ste 201, Hickory, NC 28602-1385 | 2020-07-06 |
| 1679913610 | Jacquelyn Olbina Miller | Dentist | 1699 S 14th St Ste 21, Fernandina Beach, FL 32034-1965 | 2013-07-03 |
| 1992020192 | Jacquelyn Yvonne Miller | Pharmacist | 2100 Broadway, Denver, CO 80205-2526 | 2010-03-30 |
| 1164673463 | Jacquelyn M Miller | Social Worker | 3200 Vine St, Cincinnati, OH 45220-2213 | 2008-10-06 |
| 1235275645 | Jacquelyn Miller | Social Worker | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2007-01-30 |
| 1649249665 | Jacquelyn Miller | Physician Assistant | 1105 Central Expy N, Suite 120, Allen, TX 75013-6103 | 2006-03-14 |
| Street Address |
26317 WEST WASHINGTON STREET BUILDING 66 |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669450276 | Deborah Goodrich Cousins | Pharmacy Technician | 26317 West Washington Street, Petersburg, VA 23803-0030 | 2006-01-04 |
| 1154330942 | Southside Virginia Training Center | Intermediate Care Facility, Mentally Retarded | 26317 West Washington Street, Petersburg, VA 23803 | 2006-08-08 |
| 1184650947 | Anwar Kamal Abdullah | Internal Medicine | 26317 West Washington Street, Central State Hospital, Petersburg, VA 23803 | 2006-06-23 |
| 1669450912 | Dafferlin Juanita Barnard-dupree | Psychiatry & Neurology | 26317 West Washington Street, Central State Hospital, Petersburg, VA 23803 | 2006-01-06 |
| 1467430751 | Lori Vaughan Mazsure | Pharmacist | 26317 West Washington Street, Petersburg, VA 23803 | 2006-01-06 |
| 1396723987 | Nancy Clay Cook | Pharmacist | 26317 West Washington Street, Petersburg, VA 23803 | 2006-01-04 |
| 1679551188 | Thomas Andrew Ebeling | Psychiatry & Neurology | 26317 West Washington Street, Petersburg, VA 23803-0030 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417479239 | J&j Ambulette Services | Non-emergency Medical Transport (VAN) | #12266 Prince George Dr, Disputanta, VA 23842-2384 | 2017-07-13 |
| 1417409475 | J&j Ambulette Service, LLC | Non-emergency Medical Transport (VAN) | 12266 Prince George Dr, Disputanta, VA 23842-4404 | 2016-10-25 |
| 1215915640 | William Irving Clary | Licensed Practical Nurse | 5702 Spencer Ln, Disputanta, VA 23842-4416 | 2006-01-05 |
| 1972091353 | Kelli Brocks | Occupational Therapist | 13400 Prince George Dr, Disputanta, VA 23842-4437 | 2018-05-01 |
| 1548758923 | Sarah Foote | Speech-Language Pathologist | 13400 Prince George Dr, Disputanta, VA 23842-4437 | 2018-05-01 |
| 1063821866 | Katherine Hall Vickers | Occupational Therapist | 6001 Larchwood Dr, Disputanta, VA 23842-4446 | 2014-08-05 |
| 1447793286 | Odessa Marie Brittenum | Counselor | 11322 Walton Lake Rd, Disputanta, VA 23842-4509 | 2016-11-28 |
| 1184025439 | Ch Va Collaborative Care LLC | Internal Medicine | 4099 Basswood Rd, Disputanta, VA 23842-4517 | 2014-09-05 |
| 1942785167 | Tera N Moore | Nurse Practitioner | 4019 Cobblewood Dr, Disputanta, VA 23842-4518 | 2018-10-03 |
| 1922466465 | Comfort Care Facilitation | Case Management | 4300 Woodstock Rd, Disputanta, VA 23842-4531 | 2016-01-28 |
| Find all providers in zip 23842 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801347240 | Sharon Denise Reaves | Registered Nurse | 437 Beauregard Ave, Petersburg, VA 23805-2017 | 2016-10-20 |
| 1639115983 | Charlotte Marsee Bryant | Registered Nurse | 26014 Cox Rd, Petersburg, VA 23803-6566 | 2006-06-22 |
| 1497921837 | Sarah Chambliss Greenerl | Registered Nurse | 20 W Bank St, Suite 6, Petersburg, VA 23803-3279 | 2008-05-06 |
| 1598818213 | Orakae Mason Trotter | Registered Nurse | 20 W Bank St, Petersburg, VA 23803-3279 | 2007-01-18 |
| 1265464044 | Karen L. Louis | Registered Nurse | 20 W Bank St, Suite 6, Petersburg, VA 23803-3279 | 2006-07-06 |
| 1649202482 | Eleanor Margaret Phillingane | Registered Nurse | 20 W Bank St, Suite 6, Petersburg, VA 23803-3279 | 2006-07-06 |
| 1699707455 | Gail Lavene Dussere | Registered Nurse | 20 W Bank St, Suite 6, Petersburg, VA 23803-3279 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902431257 | Francisco Morin | Registered Nurse | 7702 Martin Allen Ct, Alexandria, VA 22315-6056 | 2020-03-06 |
| 1275176083 | Damaris Gomez | Registered Nurse | 8221 Willow Oaks Corporate Dr # 1-417, Fairfax, VA 22031-4512 | 2019-10-24 |
| 1851868434 | Natasha Swanson | Registered Nurse | 7869 Etching St, North Chesterfield, VA 23237-1984 | 2018-10-31 |
| 1750861282 | Nicole Walters | Registered Nurse | 4555 Natures Waye Rd, Blacksburg, VA 24060-0567 | 2018-08-15 |
| 1437648581 | Dolly Oghogho Obanor | Registered Nurse | 7336 Mangrum Dr, Moseley, VA 23120-1684 | 2018-05-03 |
| 1902281843 | Unity Outreach Ministries of America, LLC | Registered Nurse | 1122 London Blvd, Portsmouth, VA 23704-2246 | 2015-07-21 |
| 1225305667 | Leah Geeston-enum | Registered Nurse | 240 S Reynolds St Apt 208, Alexandria, VA 22304 | 2011-11-30 |
| 1023243367 | Melonese Mccallister | Registered Nurse | 3604 Tyre Neck Rd, Portsmouth, VA 23703-3158 | 2009-05-15 |
| 1831308964 | Lee Summer Phillips | Registered Nurse | 3431 Norway Pl, Norfolk, VA 23509-1299 | 2007-05-22 |
| 1891904900 | Ade, Inc | Registered Nurse | 23077 Charmay Pond Pl, Ashburn, VA 20148-7241 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23842 |
Please comment or provide details below to improve the information on JACQUELYN PERRY MILLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.