Miller, Jacquelyn
Miller, Jacquelyn is an individual health care provider with primary practice located at 11970 N Central Expy , Dallas TX 75243-3768. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Miller, Jacquelyn can be contacted via phone (972) 940-8000.Contact Information
Primary practice address
11970 N Central Expy
Dallas TX 75243-3768
Phone: (972) 940-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00284 | Texas |
Profile Details
| NPI number | 1649249665 |
|---|---|
| LBN Legal business name | Miller, Jacquelyn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jan 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649249665 | NPPES |
| Texas | Other | PA00284 | PHYSICIAN ASSISTANT PERMI |
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