Individual
JENNY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CLCP MSCC
Contact information
Practice address
12313 N HOGAN RD, AURORA, IN 47001-8016
(812) 744-1045
(877) 285-6536
Mailing address
12313 N HOGAN RD, AURORA, IN 47001-8016
(812) 744-1045
(877) 285-6536
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN243420
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107008
INDEPENDENT MEDICAID PROV
OH
Enumeration date
03/21/2006
Last updated
07/08/2007
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