Individual
MRS. JENELLE S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8301 HARCOURT RD, SUITE 200, INDIANAPOLIS, IN 46260-2081
(317) 415-6600
(317) 415-6649
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(239) 432-8331
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01059206
IN
207RX0202X
Medical Oncology Physician
01059206
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200497270
—
IN
Enumeration date
07/21/2005
Last updated
01/03/2023
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