NPI | 1194037739 |
---|---|
Former Name | JACLYN ANN MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA 316599) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 316599) |
363LW0102X Nurse Practitioner, Women's Health (Licence: TX 782340) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: AR 004972) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: TX 119517) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-07-12 |
Last Update Date | 2023-06-14 |