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NPI Code Detail

MEDICARE: JADE MILLER

MEDICARE: JADE 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
1172V00000XCommunity Health WorkerCA
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1972214864
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADE MILLER
Provider Business Mailing Address
First Line : 41550 ECLECTIC ST
Second Line :
City : PALM DESERT
State : CA
Zip : 92260-1967
Country : US
Telephone Number : 760-299-5181
Fax Number :
Provider Business Practice Location Address
First Line : 41550 ECLECTIC ST
Second Line :
City : PALM DESERT
State : CA
Zip : 92260-1967
Country : US
Telephone Number : 760-299-5181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2022
Last Update Date : 03/19/2026

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Directions to “ JADE MILLER ” Practice Location

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