Individual
JACOB MATTHEW MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2405 N DAKOTA AVE, AMES, IA 50014-9019
(515) 532-2811
(515) 532-9336
Mailing address
2405 N DAKOTA AVE, AMES, IA 50014-9019
(515) 468-2427
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
11031729
FL
367500000X
Certified Registered Nurse Anesthetist
113762
KS
367500000X
Certified Registered Nurse Anesthetist
43-557316-021
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
D142357
IA
Other
Enumeration date
06/24/2014
Last updated
01/29/2026
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