Individual
MRS. JANE MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3100 KNAPP RD, VESTAL, NY 13850-3037
(607) 757-2268
(607) 757-3686
Mailing address
40-48 GLANN ROAD, APALACHIN, NY 13732-1563
(607) 757-2268
(607) 757-3686
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
421031-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
664318
—
NY
Enumeration date
10/03/2019
Last updated
10/03/2019
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