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Individual

MRS. JEANNIE H MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1256 MILITARY ST S, HAMILTON, AL 35570-5003
(205) 921-6200
(205) 921-6260
Mailing address
1256 MILITARY ST S, HAMILTON, AL 35570-5003
(205) 921-6200
(205) 921-6260

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0216585
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00204144
MEDICARE RAILROAD
AL
Enumeration date
02/12/2007
Last updated
07/09/2007
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