Individual
MRS. JACLYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
710 MAIN ST BLDG 1, PLANTSVILLE, CT 06479-1568
(860) 276-8453
Mailing address
PO BOX 440, MARION, CT 06444-0440
(203) 565-4190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7695
CT
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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