Individual
JESSICA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4085 US HIGHWAY 1, ROCKLEDGE, FL 32955-5307
(321) 632-2737
(321) 633-1963
Mailing address
2600 LARCH CIR NE APT 204, PALM BAY, FL 32905-6439
(321) 632-2737
(321) 633-1963
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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