Individual
JEFFREY MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4730 N SOUTHSIDE PLAZA ST, RICHMOND, VA 23224-1742
(804) 230-7777
(804) 230-2071
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60793078
WA
363LF0000X
Family Nurse Practitioner
Primary
0024194227
VA
Other
Enumeration date
09/21/2022
Last updated
09/26/2025
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