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NPI Code Detail

MEDICARE: JESSICA MILLER

MEDICARE: JESSICA MILLER
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
1163WG0100XGastroenterology Registered Nurse938223TX
2364SG0600XGerontology Clinical Nurse Specialist2026001054TX

General Provider Information

NPI Number : 1811826266
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MILLER
Provider Business Mailing Address
First Line : 14101 GOLDEN BRIDGE DR
Second Line :
City : PILOT POINT
State : TX
Zip : 76258-2134
Country : US
Telephone Number : 269-386-1015
Fax Number :
Provider Business Practice Location Address
First Line : 4700 ALLIANCE BLVD
Second Line :
City : PLANO
State : TX
Zip : 75093-5323
Country : US
Telephone Number : 469-814-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/18/2026

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Directions to “ JESSICA MILLER ” Practice Location

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