Provider Demographics
NPI:1285446427
Name:MILLER, JULIA ELAINE (NP)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ELAINE
Last Name:MILLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:817 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:DAWSON
Mailing Address - State:GA
Mailing Address - Zip Code:39842-4927
Mailing Address - Country:US
Mailing Address - Phone:912-687-3419
Mailing Address - Fax:
Practice Address - Street 1:1224 US HIGHWAY 19 S
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:GA
Practice Address - Zip Code:31763-4877
Practice Address - Country:US
Practice Address - Phone:229-312-7401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA275482363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner