Individual
MR. BRENT JORDAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
9400 EAST 350 HIGHWAY, RAYTOWN, MO 64133
(816) 251-5700
Mailing address
8312 HEDGES AVE, RAYTOWN, MO 64138-3440
(816) 316-9835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016019762
MO
363LF0000X
Family Nurse Practitioner
53-77307-021
KS
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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