Individual
JENNIFER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
822 S MILL ST, MOUNT CARROLL, IL 61053-1243
(815) 244-8855
(815) 244-5010
Mailing address
305 E PRAIRIE ST, LANARK, IL 61046-1336
(815) 244-8855
(815) 244-5010
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
041.304081
IL
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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