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NPI Code Detail

MEDICARE: NANCY JANE MILLER PA-C

MEDICARE: NANCY JANE MILLER PA-C
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
1363A00000XPhysician AssistantPA 9101719FL

General Provider Information

NPI Number : 1174581243
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY JANE MILLER PA-C
Provider Business Mailing Address
First Line : PO BOX 15349
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32317-5349
Country : US
Telephone Number : 850-383-3300
Fax Number : 850-383-3497
Provider Business Practice Location Address
First Line : 1264 METROPOLITAN BLVD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32312-2536
Country : US
Telephone Number : 850-383-3382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 09/07/2022

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