Individual
JACLYN A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4510 CATALINA PKWY, MCFARLAND, WI 53558-8773
(720) 290-1976
Mailing address
4510 CATALINA PKWY, MCFARLAND, WI 53558-8773
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
0024182962
VA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
247668
WI
Other
Enumeration date
06/05/2019
Last updated
01/12/2022
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