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Individual

DR. JENA LYN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 N WOLFE ST, NELSON 228, BALTIMORE, MD 21287-0005
(443) 287-9480
(410) 614-1617
Mailing address
600 N WOLFE ST, NELSON 228, BALTIMORE, MD 21287-0005
(443) 287-9480
(410) 614-1617

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
0101247584
VA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
D65575
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-010
TRICARE/CHAMPUS
VA
01
10063694
OPTIMA HEALTH
VA
01
1992916936
UNITED HEALTHCARE
VA
05
1992916936
NC
05
1992916936
VA
01
411596
ANTHEM
VA
01
PAR
CORVEL
VA
01
PAR
CIGNA
VI
Enumeration date
05/24/2007
Last updated
03/30/2015
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