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Individual

JILL SPENCER MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
120 SE 4TH ST, EVANSVILLE, IN 47708-1607
(812) 426-6638
(812) 858-6802
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 450-6815
(812) 450-6822

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
3007664
KY
363L00000X
Nurse Practitioner
3007664
KY
363L00000X
Nurse Practitioner
Primary
71010252A
IN
363LF0000X
Family Nurse Practitioner
3007664
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700359290
KY
Enumeration date
09/07/2012
Last updated
08/03/2022
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