Individual
MRS. JENNIFER L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
107 S MAIN ST, OTTAWA, KS 66067-2327
(913) 468-2266
Mailing address
107 S MAIN ST, OTTAWA, KS 66067-2327
(913) 401-2750
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
003174
CO
363LF0000X
Family Nurse Practitioner
Primary
13-069081-101
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51372258
—
CO
Enumeration date
05/08/2006
Last updated
08/20/2019
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