Doctor Name: | MRS. JENNIFER L MILLER |
NPI Number: | 1114976271 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 003174 |
Business Practice Address: | 536 W 4th Ave Garnett, KS - 660321355 |
Business Phone Number: | 7854482674 |
Business Fax Number: | |
Mailing Address: | 536 W 4th Ave, GARNETT |
State: | KS |
Postal Code: | 660321355 |
Phone Number: | 7854482674 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 06/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 003174 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |