Individual
JORDAN MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12200 RENFERT WAY STE 100, AUSTIN, TX 78758-5654
(512) 451-8211
Mailing address
604 DUNDALK BAY CV, PFLUGERVILLE, TX 78660-4605
(240) 925-7155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1010700
TX
363LF0000X
Family Nurse Practitioner
AP1010700
TX
363LW0102X
Women's Health Nurse Practitioner
AP1010700
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP1010700
TX
Other
Enumeration date
08/26/2020
Last updated
12/10/2024
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