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NPI 1023070612

NPI 1023070612 : JILL A MILLER ARNP : SAINT PETERSBURG, FL

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General NPI Number Information
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    NPI Number           |    1023070612
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    Entity Type          |    Individual 
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    Provider Name        |    JILL A MILLER ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/06/2006
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    Last Update Date     |    06/25/2024
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Provider Practice Location Address
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    Address Line         |    700 CENTRAL AVE STE 400 
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    City                 |    SAINT PETERSBURG
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    State                |    FL
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    Zip                  |    33701-3600
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    Country              |    US
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    Telephone            |    727-895-1300
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    Fax                  |    727-823-3494
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Provider Business Mailing Address
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    Address Line         |    PO BOX 748817 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30374-8817
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    Country              |    US
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    Telephone            |    813-286-0033
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    Fax                  |    813-282-1806
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LX0001X
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    Taxonomy Name        |    Obstetrics & Gynecology Nurse Practitioner
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    License Number       |    ARNP2163002
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    APRN2163002
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    License Number State |    FL
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