Individual
JACQUELYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA - C
Contact information
Practice address
11970 N CENTRAL EXPY, DALLAS, TX 75243-3768
(972) 940-8000
Mailing address
1105 CENTRAL EXPY N, SUITE 120, ALLEN, TX 75013-6103
(972) 727-9995
(972) 727-8350
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA00284
PHYSICIAN ASSISTANT PERMI
TX
Enumeration date
03/14/2006
Last updated
01/04/2022
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