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Individual

JENNIFER ELAINE MILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
225 HILLBOURGH ST, FORTSON, GA 31808-6719
(706) 442-5008
Mailing address
225 HILLBOURGH ST, FORTSON, GA 31808-6719
(706) 442-5008

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN222280
GA
363LF0000X
Family Nurse Practitioner
RN222280
GA

Other

Enumeration date
10/04/2021
Last updated
10/09/2021
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