Individual
JILL M MILTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8725 N WICKHAM RD STE 302, MELBOURNE, FL 32940-2240
(321) 434-9265
(321) 434-9231
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9265
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9442449
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117477500
—
FL
01
—
QJ499
MEDICARE HF
FL
Enumeration date
11/14/2011
Last updated
11/21/2023
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