Individual
JACQUELYN BURGE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2449 HOSPITAL DR STE 340, BOSSIER CITY, LA 71111-1912
(318) 212-7160
(318) 212-7164
Mailing address
940 COTTON VALLEY RD, HAUGHTON, LA 71037-7312
(318) 469-1375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
211799
LA
Other
Enumeration date
07/08/2025
Last updated
11/20/2025
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