Individual
JASMINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10865 GA HIGHWAY 110, WOODBINE, GA 31569-2211
(912) 674-8919
Mailing address
10865 GA HIGHWAY 110, WOODBINE, GA 31569-2211
(912) 674-8919
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN272439
GA
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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