Individual
DR. JONATHAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, AGACNP
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-5220
(903) 614-5115
Mailing address
1003 BROWN DR, WAKE VILLAGE, TX 75501-8649
(903) 831-6501
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP137961
TX
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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