Individual
JORDYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2000
(505) 609-2259
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-85283
NM
367500000X
Certified Registered Nurse Anesthetist
Primary
85231
NM
Other
Enumeration date
08/31/2022
Last updated
09/24/2025
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