Individual
JENNIFER LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
2960 VICTORY BLVD, STATEN ISLAND, NY 10314-6605
(718) 370-2014
Mailing address
770 JACKSON ST APT 1105, HOBOKEN, NJ 07030-6991
(813) 474-6319
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
345294
NY
363LF0000X
Family Nurse Practitioner
ARNP9315881
FL
Other
Enumeration date
09/23/2018
Last updated
08/26/2021
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