Individual
JENNIFER L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5349 EMMERYVILLE LN, FORT WORTH, TX 76244-6203
(817) 909-1408
Mailing address
5349 EMMERYVILLE LN, FORT WORTH, TX 76244-6203
(817) 909-1408
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
224604
TX
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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