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General NPI Number Information
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NPI Number | 1194037739
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Entity Type | Individual
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Provider Name | JACLYN MILLER PIASTA DNP, APRN, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 519 JOHNSON FERRY RD STE 300
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City | MARIETTA
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State | GA
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Zip | 30068-4660
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Country | US
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Telephone | 404-490-1739
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Fax | 877-649-6022
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Provider Business Mailing Address
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Address Line | 4523 HUNTING HOUND LN
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City | MARIETTA
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State | GA
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Zip | 30062-6337
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Country | US
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Telephone | 908-227-4773
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Fax |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP119517
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN316599
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NP316599
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 004972
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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