Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Logan Miles

Individual provider Acute Care Nurse Practitioner · NPI 1255296554

Justin Logan Miles is a Nurse Practitioner in Hanover, Pennsylvania. Graduated from Drexel University College of Medicine in 2025, 1 year ago. Licensed in Pennsylvania.

Years since qualifying
1
Trained at
Drexel University College of Medicine
Licensed in
PA
In the registry since
2025

Practice location Address checks out

101 Tyler Dr
Hanover, PA 17331-8072
Phone: (276) 698-4414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP034214 (PA)

Record details

NPI number1255296554
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 18, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address101 Tyler Dr, Hanover, PA 17331-8072

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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