Individual
JENNA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-8383
Mailing address
21018 BITTERSWEET DR, LENEXA, KS 66220-3256
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12395
MN
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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