Individual
JAKE EDWARDS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Mailing address
1599 BEAR CREEK RD, LEICESTER, NC 28748-6316
(401) 559-3250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
289068
NC
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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