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General NPI Number Information
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NPI Number | 1093432437
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Entity Type | Individual
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Provider Name | JESSICA GAILYN MILLER MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 62 N 3RD ST
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City | BROOKLYN
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State | NY
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Zip | 11249-4052
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Country | US
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Telephone | 164-665-0533
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Fax |
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Provider Business Mailing Address
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Address Line | 55 THOMPSON ST APT 9B
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City | NEW YORK
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State | NY
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Zip | 10012-0286
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Country | US
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Telephone | 954-661-1050
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Fax | 650-618-3875
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 349712
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License Number State | NY
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