Miller, Jacquelyn Perry

Miller, Jacquelyn Perry is an sole proprietor health care provider with primary practice located at 26317 West Washington Street Building 66, Petersburg VA 23842. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Miller, Jacquelyn Perry can be contacted via phone (804) 722-4299.

Contact Information

Primary practice address
26317 West Washington Street Building 66 Petersburg VA 23842
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001186020 Virginia
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 0001186020 Virginia

Profile Details

NPI number 1801166988
LBN Legal business name Miller, Jacquelyn Perry
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2012
Last updated Jan 6th, 2012 - about 13 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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