Individual
JESSICA KAY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-1697
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61145996
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922583582
—
WA
Enumeration date
09/30/2018
Last updated
02/22/2021
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