Miller, Geraldstine D

Miller, Geraldstine D is an sole proprietor health care provider with primary practice located at 1500 E Woodrow Wilson Ave , Jackson MS 39216-5116. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Miller, Geraldstine D can be contacted via phone (601) 362-4471.

Contact Information

Primary practice address
1500 E Woodrow Wilson Ave Jackson MS 39216-5116
Phone: (601) 362-4471
Fax: (601) 368-3917
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R640212 Mississippi

Profile Details

NPI number 1114931136
LBN Legal business name Miller, Geraldstine D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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