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Individual

JACOB MCMILLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP - APRN

Contact information

Practice address
5955 ZEAMER AVE, ELMENDORF AFB, AK 99506-3702
(907) 580-2778
Mailing address
5955 ZEAMER AVE, ELMENDORF AFB, AK 99506-3702
(907) 580-2778

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
12080403-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
12080403-4405
UT

Other

Enumeration date
04/16/2025
Last updated
08/20/2025
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