| NPI | 1689979486 |
|---|---|
| Other Name | JACKIE NICHOLE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021436) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH RN285048) |
| 163WE0003X Registered Nurse, Emergency (Licence: OH RN285048) | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2019-06-27 |