Provider Demographics
NPI:1598578601
Name:MILLER, DANIELLE (CD)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:CD
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:C
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:603 CHATHAM TRL
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30238-4459
Mailing Address - Country:US
Mailing Address - Phone:631-790-1915
Mailing Address - Fax:
Practice Address - Street 1:603 CHATHAM TRL
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-4459
Practice Address - Country:US
Practice Address - Phone:631-790-1915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty