| Doctor Name: | JODY DECKER MILLER |
| NPI Number: | 1568458628 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | RO22293 |
| Business Practice Address: | 2501 Capehart Rd Offutt A F B, NE - 681131043 |
| Business Phone Number: | 4022947420 |
| Business Fax Number: | 4022325945 |
| Mailing Address: | 11415 S 43rd St, BELLEVUE |
| State: | NE |
| Postal Code: | 681231072 |
| Phone Number: | 4022947331 |
| Fax Number: | 4022325945 |
| NPI Enumeration Date: | 09/23/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | RO22293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |