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NPI Code Detail

MEDICARE: JACQUELINE Y MILLER RN

MEDICARE: JACQUELINE Y MILLER RN
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
1163WH0200XHome Health Registered Nurse4704350887MI

General Provider Information

NPI Number : 1164145561
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE Y MILLER RN
Provider Business Mailing Address
First Line : 15945 WOOD RD
Second Line :
City : LANSING
State : MI
Zip : 48906-1746
Country : US
Telephone Number : 517-394-1234
Fax Number : 517-394-7716
Provider Business Practice Location Address
First Line : 15945 WOOD RD
Second Line :
City : LANSING
State : MI
Zip : 48906-1746
Country : US
Telephone Number : 517-394-1234
Fax Number : 517-394-7716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2022
Last Update Date : 09/21/2022

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Directions to “ JACQUELINE Y MILLER RN” Practice Location

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