Individual
JACOB A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 398-6161
(402) 398-6982
Mailing address
2620 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3120
NE
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/16/2024
Last updated
07/22/2025
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