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NPI Code Detail

MEDICARE: JESSICA MILLER PA

MEDICARE: JESSICA MILLER PA
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
1363A00000XPhysician AssistantPA16182TX

General Provider Information

NPI Number : 1942810445
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MILLER PA
Provider Business Mailing Address
First Line : 3521 50TH ST # 1105
Second Line :
City : LUBBOCK
State : TX
Zip : 79413-4003
Country : US
Telephone Number : 806-370-3705
Fax Number : 800-380-6717
Provider Business Practice Location Address
First Line : 1742 OREGON ST
Second Line :
City : REDDING
State : CA
Zip : 96001-1717
Country : US
Telephone Number : 530-646-7269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2020
Last Update Date : 03/05/2026

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Directions to “ JESSICA MILLER PA” Practice Location

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