Individual
MS. JACQUELINE MARY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,ANP-C
Contact information
Practice address
245 EDGARTOWN- VINEYARD HAVEN ROAD, ISLAND HEALTH CARE, EDGARTOWN, MA 02539
(508) 939-9358
(508) 939-8644
Mailing address
245 VINEYARD HAVEN -EDGARTOWN ROAD, P.O BOX 9000, EDGARTOWN, MA 02539
(508) 939-9358
(508) 939-8644
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
213927
MA
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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