Individual
JACINTA Y MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
600 RB WILSON DR, HUNTINGDON, TN 38344-1726
(731) 986-2213
(731) 986-0011
Mailing address
PO BOX 525, HUNTINGDON, TN 38344-0525
(731) 986-2213
(731) 986-0011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16909
TN
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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