Individual
JASON ALLEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9484
(734) 936-5780
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704276684
MI
363LF0000X
Family Nurse Practitioner
4704276684
MI
Other
Enumeration date
09/11/2019
Last updated
10/28/2024
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