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Individual

JESSICA NICOLE MILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5887 BROCKTON AVE, RIVERSIDE, CA 92506-1853
(951) 275-8500
Mailing address
8782 BARTON ST, RIVERSIDE, CA 92508-3224
(909) 213-9859

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012108
CA

Other

Enumeration date
08/13/2019
Last updated
08/28/2024
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