Individual
JACKLYN JEAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
E HWY 18, PINE RIDGE INDIAN HEALTH SERVICES, PINE RIDGE, SD 57770
(605) 867-3010
Mailing address
E HWY 18, INDIAN HEALTH SERVICE HOSPITAL, PINE RIDGE, SD 57770
(605) 867-3010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R32348
ND
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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