Individual
JAYNETTE D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
535 S FREEBORN ST, MARION, KS 66861-1256
(620) 382-2177
(620) 382-9104
Mailing address
535 S FREEBORN ST, MARION, KS 66861-1256
(620) 382-2177
(620) 382-9104
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
46004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12017857
CAQH
KS
05
—
200298750C
—
KS
Enumeration date
03/09/2007
Last updated
02/10/2017
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