Individual
JORDAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18 HOLLY LN, PAOLA, KS 66071-1843
(620) 212-4956
Mailing address
18 HOLLY LN, PAOLA, KS 66071-1843
(620) 212-4956
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
13-102227
KS
Other
Enumeration date
02/03/2019
Last updated
02/03/2019
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