Miller, Jaclyn A

Miller, Jaclyn A is an individual health care provider with primary practice located at 4510 Catalina Pkwy , Mcfarland WI 53558-8773. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Miller, Jaclyn A can be contacted via phone (720) 290-1976.

Contact Information

Primary practice address
4510 Catalina Pkwy Mcfarland WI 53558-8773
Phone: (720) 290-1976
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 247668 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 0024182962 Virginia

Profile Details

NPI number 1942868831
LBN Legal business name Miller, Jaclyn A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2019
Last updated Jan 12th, 2022 - about 2 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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