Individual
JACEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
269 SILAS DEANE HIGHWAY, WETHERSFIELD, CT 06109
(860) 513-1282
Mailing address
3 COLONIAL DR, WATERFORD, CT 06385-3307
(860) 575-3469
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
14488
CT
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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