MEDICARE: DR. JESSICA MARIE MILLER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	15233	TX

General Provider Information

NPI Number	:	1427783109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA MARIE MILLER DC

Provider Business Mailing Address
First Line	:	2121 BEAR CREEK PKWY APT 2202
Second Line	:
City	:	EULESS
State	:	TX
Zip	:	76039-5371
Country	:	US
Telephone Number	:	765-667-1741
Fax Number	:

Provider Business Practice Location Address
First Line	:	7777 FOREST LN STE B115
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-6873
Country	:	US
Telephone Number	:	972-608-3124
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2022
Last Update Date	:	07/18/2022

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