MEDICARE: VALENCIA JESSICA MILLER

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	163W00000X	Registered Nurse	RN9224397	FL
2	367500000X	Certified Registered Nurse Anesthetist	APRN11037967	FL

General Provider Information

NPI Number	:	1932931862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALENCIA JESSICA MILLER

Provider Business Mailing Address
First Line	:	1117 GREEN PINE BLVD APT D2
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-7059
Country	:	US
Telephone Number	:	565-615-7793
Fax Number	:

Provider Business Practice Location Address
First Line	:	1117 GREEN PINE BLVD APT D2
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-7059
Country	:	US
Telephone Number	:	565-615-7793
Fax Number	:

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

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	02/05/2026

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