Individual
JORDYN LEIGH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 STAFFORD LAKES PKWY STE 102, FREDERICKSBURG, VA 22406-7305
(540) 741-6982
Mailing address
66 SAN PEDRO DR, COLONIAL BEACH, VA 22443
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024189602
VA
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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