Individual
JAMIE FAYE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-7100
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-7100
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R641332
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120929
—
MS
05
—
1555665
—
LA
Enumeration date
06/28/2006
Last updated
09/24/2012
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