| Doctor Name: | MS. JENNIFER LEWIS MILLER |
| NPI Number: | 1508896010 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | UP004221B |
| Business Practice Address: | 1790 Old Trail Rd Etters, PA - 173199652 |
| Business Phone Number: | 7179386588 |
| Business Fax Number: | 7179389601 |
| Mailing Address: | 1803 Mount Rose Ave, Suite B3 YORK |
| State: | PA |
| Postal Code: | 174033026 |
| Phone Number: | 7178511405 |
| Fax Number: | 7179389601 |
| NPI Enumeration Date: | 07/03/2006 |
| NPI Last Update Date: | 05/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | UP004221B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |