Individual
MS. JENNY L MILLER
Active
Individual
MS. JENNY L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11682
AZ
363AM0700X
Medical Physician Assistant
Primary
PA22046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11682
AZ LICENSE
AZ
Enumeration date
04/05/2012
Last updated
08/28/2026
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