Individual
JENNIFER MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9551 171ST ST, TINLEY PARK, IL 60487-6109
(866) 395-2727
Mailing address
9551 171ST ST, TINLEY PARK, IL 60487-6109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018491
IL
363LF0000X
Family Nurse Practitioner
4704302022
MI
Other
Enumeration date
01/25/2018
Last updated
01/03/2019
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