Individual
JESSICA S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
192 TILLEY DR, SOUTH BURLINGTON, VT 05403-4440
(802) 847-9005
Mailing address
192 TILLEY DR, SOUTH BURLINGTON, VT 05403-4440
(802) 847-9005
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0550031050
VT
Other
Enumeration date
07/12/2010
Last updated
09/25/2012
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