MEDICARE: DR. JENNIFER MILLER RN, PHD

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
1	163W00000X	Registered Nurse	133417	TN

General Provider Information

NPI Number	:	1902763949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER MILLER RN, PHD

Provider Business Mailing Address
First Line	:	2443 SUGAR CREEK RD
Second Line	:
City	:	GEORGETOWN
State	:	TN
Zip	:	37336-6228
Country	:	US
Telephone Number	:	865-386-8772
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 VOLUNTEER BLVD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37996-4515
Country	:	US
Telephone Number	:	865-386-8772
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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