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Individual

MS. JENNIFER LEWIS MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1790 OLD TRAIL RD, ETTERS, PA 17319-9652
(717) 938-6588
(717) 938-9601
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
UP004221B
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03121501
CAPITAL BLUE CROSS-WMG
PA
01
104978
JOHNS HOPKINS
PA
01
1551675
GATEWAY-WMG
PA
01
1975308
HIGHMARK BLUE SHIELD
PA
01
20019454
AMERIHEALTH MERCY-WMG
PA
01
50083185
CAPITAL BLUE CROSS-WMG WFM
PA
01
618687
CAREFIRST MD BCBS
MD
Enumeration date
07/03/2006
Last updated
12/23/2024
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