Individual
JENNIE LYNN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16570 WASHINGTON ST, THORNTON, CO 80023-8964
(303) 689-6600
(303) 689-6601
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(720) 336-3989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2314
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2314
COLORADO
CO
Enumeration date
03/05/2007
Last updated
10/20/2021
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