Individual
MRS. JESSICA LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2194
Mailing address
2109 SOUNDINGS CRESCENT CT, SUFFOLK, VA 23435-3733
(757) 686-5737
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001996
VA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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