Individual
JESSE JULIAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
143 HOSPITAL DRIVE, STE 112, STATE COLLEGE, PA 16803-6706
(800) 243-1455
(814) 863-7803
Mailing address
500 UNIVERSITY DR, MC CA410, HERSHEY, PA 17033-2360
(800) 243-1455
(717) 531-0119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
84645
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD479129
PA
Other
Enumeration date
05/09/2016
Last updated
07/24/2025
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