IndividualActive
Jacquelyn Miller, RN
NPI 1801166988 · Psychiatric/Mental Health Registered Nurse · Petersburg, VA
Provider details
- NPI number
- 1801166988
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0001186020 (VA)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
26317 West Washington Street
Building 66
Petersburg, VA 23842
Phone: (804) 722-4299
Approximate (ZIP-level) locationGet directions
Mailing address
13504 Taylor Drive
Disputanta, VA 23842
Registry dates
- Enumerated
- 2012-01-06
- Last updated
- 2012-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.