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Individual
JEANETTE KAY MILLER
Active
Individual
JEANETTE KAY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
123168
KS
363L00000X
Nurse Practitioner
Primary
79243
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79243
NOT FOR PROFIT CLINIC PROVIDER
KS
Enumeration date
02/25/2019
Last updated
11/20/2025
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