Individual
MRS. JENNIFER BETHANY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(601) 249-5500
Mailing address
102 WILSON RD, HATTIESBURG, MS 39402-8976
(601) 270-0274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904505
MS
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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