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Individual
JODIE MILLER
Active
Individual
JODIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP145696
TX
363LF0000X
Family Nurse Practitioner
CP001149
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
414603701
TRADITIONAL MEDICAID TPI
TX
01
—
414603702
MEDICAID CSHCN
TX
01
—
8MX435
BLUE CROSS BLUE SHIELD ID#
TX
Enumeration date
10/19/2016
Last updated
10/20/2020
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