Individual
JILL NELLIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
202 10TH STREET SE, CEDAR RAPIDS, IA 52403-2404
(319) 398-1721
(319) 399-2016
Mailing address
PO BOX 3178, CEDAR RAPIDS, IA 52406-3178
(319) 398-1583
(319) 399-2085
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
117263
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011007680
ANCC-FNP CERTIFICATION
IA
Enumeration date
08/23/2011
Last updated
09/11/2013
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