Individual
JENNIFER M MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 ENCLAVE DR, NEW CASTLE, PA 16105-3207
(724) 658-6656
(724) 658-6542
Mailing address
125 ENCLAVE DR, NEW CASTLE, PA 16105-3207
(724) 658-6656
(724) 658-6542
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051030
PA
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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