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Individual

MRS. JAMIE JUSTINE MILTENBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1800 JENKS AVE, PANAMA CITY, FL 32405-4642
(850) 769-3191
Mailing address
1226 DUNDEE LN, LYNN HAVEN, FL 32444-8301
(937) 572-6559

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9287023
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP9287023
ARNP LICENSE
FL
01
RN9287023
LICENSE
FL
Enumeration date
07/25/2014
Last updated
05/06/2025
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