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General NPI Number Information
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NPI Number | 1174019798
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Entity Type | Individual
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Provider Name | JESSICA L MILLER DNP, NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 115 E BUSINESS US HIGHWAY 60
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City | DEXTER
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State | MO
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Zip | 63841-1219
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Country | US
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Telephone | 573-335-7546
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Fax | 573-335-7550
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Provider Business Mailing Address
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Address Line | 2116 MEGAN DR
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63701-1980
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Country | US
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Telephone | 573-335-7546
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Fax | 573-335-7550
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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 | 2018023507
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License Number State | MO
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