| Doctor Name: | MRS. JENNIFER LEE MILLER |
| NPI Number: | 1104196658 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 555175-1 |
| Business Practice Address: | 4184 Miller St Williamson, NY - 145899713 |
| Business Phone Number: | 3155899665 |
| Business Fax Number: | |
| Mailing Address: | 4184 Miller St, Po Box 900 WILLIAMSON |
| State: | NY |
| Postal Code: | 145899713 |
| Phone Number: | 3155899665 |
| Fax Number: | |
| NPI Enumeration Date: | 12/30/2011 |
| NPI Last Update Date: | 12/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 555175-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |