Individual
JASON DANIEL MIKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1107 N CHARLES G SEIVERS BLVD STE 101, CLINTON, TN 37716-3944
(865) 934-6150
(865) 342-0150
Mailing address
6350 W ANDREW JOHNSON HWY DEPT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN202597
TN
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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