Individual
JESSICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
595 MARTHA JEFFERSON DR STE 180, CHARLOTTESVILLE, VA 22911-4669
(434) 654-5575
(434) 654-5574
Mailing address
PO BOX 746550, ATLANTA, GA 30374-6550
(888) 236-2263
(434) 654-5574
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110-005401
VA
Other
Enumeration date
07/06/2016
Last updated
06/14/2022
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