Doctor Name: | MRS. JILL S MILLER |
NPI Number: | 1023070612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP2163002 |
Business Practice Address: | 8340 Lakewood Ranch Blvd Ste 240 Bradenton, FL - 342025180 |
Business Phone Number: | 9419073008 |
Business Fax Number: | 9419073036 |
Mailing Address: | 8340 Lakewood Ranch Blvd, Ste 240 BRADENTON |
State: | FL |
Postal Code: | 342025180 |
Phone Number: | 9419073008 |
Fax Number: | 9419073036 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | ARNP2163002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |