Individual
JENNIFER MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
1210 N CARROLL AVE, SOUTHLAKE, TX 76092-4512
(817) 488-6205
Mailing address
8816 BARLOW DR, FRISCO, TX 75036-0922
(972) 567-8930
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP143107
TX
363LG0600X
Gerontology Nurse Practitioner
AP143107
TX
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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