Individual
DR. JESSICA T MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
2100 N MAIN ST STE 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
PO BOX 10299, FORT WAYNE, IN 46851-0299
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3016536
KY
363LF0000X
Family Nurse Practitioner
4704377817
MI
363LF0000X
Family Nurse Practitioner
Primary
71010828A
IN
Other
Enumeration date
01/24/2021
Last updated
08/18/2021
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