Individual
JALEESA ANTOINETTE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9100
Mailing address
2709 17TH AVE S # 618, SEATTLE, WA 98144-5249
(251) 550-8511
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
1-166348
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
61226976
WA
Other
Enumeration date
04/01/2019
Last updated
02/02/2022
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