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Individual

MRS. JENNIFER L MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1775 ONE HEALING PL, TALLAHASSEE, FL 32308-4600
(850) 431-5360
(850) 431-5367
Mailing address
1775 ONE HEALING PL, TALLAHASSEE, FL 32308-4600
(850) 431-5360
(850) 431-5367

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP2751132
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306425500
FL
01
P00282701
RAILROAD MEDICARE
01
Y057V
BCBS
FL
Enumeration date
10/03/2006
Last updated
02/16/2016
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