Individual
BROOKE JILLIAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7711 35TH AVE, APT 2L, JACKSON HEIGHTS, NY 11372-4659
(845) 300-2304
Mailing address
7711 35TH AVE, APT 2L, JACKSON HEIGHTS, NY 11372-4659
(845) 300-2304
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30307659
NY
Other
Enumeration date
06/30/2016
Last updated
02/26/2021
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