Individual
JESSICA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6430 98TH ST STE 200, LUBBOCK, TX 79424-5466
(806) 370-3705
Mailing address
6430 98TH ST STE 200, LUBBOCK, TX 79424-5466
(806) 370-3705
(806) 256-8779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
63039
CA
363A00000X
Physician Assistant
Primary
PA16182
TX
Other
Enumeration date
08/09/2020
Last updated
07/21/2026
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