Individual
JENNIFER SUE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA - C
Contact information
Practice address
10701 NEW GEORGES CREEK RD SW, FROSTBURG, MD 21532-1457
(301) 689-3229
(301) 689-1129
Mailing address
14302 BARTON BLVD SW, CUMBERLAND, MD 21502-5852
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04108
MD
363AM0700X
Medical Physician Assistant
MA002450L
PA
Other
Enumeration date
12/11/2006
Last updated
04/21/2022
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