Individual
MRS. JESSICA MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12902 E 51ST ST STE 3, TULSA, OK 74134-6712
(918) 994-3476
Mailing address
RR 3 BOX 359, HENRYETTA, OK 74437-9205
(918) 843-1167
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210048
OK
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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