Provider Demographics
NPI:1831303833
Name:MILLER, JOYCE M (WHNP-BC, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:M
Last Name:MILLER
Suffix:
Gender:F
Credentials:WHNP-BC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726 BUFFALO AVE
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-4478
Mailing Address - Country:US
Mailing Address - Phone:432-335-5150
Mailing Address - Fax:432-335-5169
Practice Address - Street 1:800 W 4TH ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79763-4368
Practice Address - Country:US
Practice Address - Phone:432-335-5150
Practice Address - Fax:432-335-5169
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX548022363LF0000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily