Individual
MRS. JACQUELYN RENEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1501 TATE BLVD SE STE 201, HICKORY, NC 28602-1385
(828) 322-4140
Mailing address
1501 TATE BLVD SE STE 201, HICKORY, NC 28602-1385
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM761
NC
Other
Enumeration date
07/06/2020
Last updated
08/28/2020
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