Provider Demographics
NPI:1427339068
Name:MILLER, VALERIE A (CNP)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:A
Last Name:MILLER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MISS
Other - First Name:VALERIE
Other - Middle Name:A
Other - Last Name:JACOBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:6565 PERIMETER DRIVE
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8461
Mailing Address - Country:US
Mailing Address - Phone:614-328-9927
Mailing Address - Fax:614-389-3727
Practice Address - Street 1:6565 PERIMETER DRIVE
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8461
Practice Address - Country:US
Practice Address - Phone:614-328-9927
Practice Address - Fax:614-389-3727
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.12478-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0054502Medicaid
OH0054502Medicaid