Individual
MRS. JENNIFER LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4184 MILLER ST, WILLIAMSON, NY 14589-9713
(315) 589-9665
Mailing address
4184 MILLER ST, PO BOX 900, WILLIAMSON, NY 14589-9713
(315) 589-9665
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
555175-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01391079
—
NY
Enumeration date
12/30/2011
Last updated
12/30/2011
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