Miller, Jeannette M

Miller, Jeannette M is an individual health care provider with primary practice located at 3927 Rucker Ave , Everett WA 98201-4833. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Miller, Jeannette M can be contacted via phone (425) 339-5422.

Contact Information

Primary practice address
3927 Rucker Ave Everett WA 98201-4833
Phone: (425) 339-5422
Fax: (425) 339-5444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN545457 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP21352 California
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X NP21352 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60709612 Washington

Profile Details

NPI number 1740564103
LBN Legal business name Miller, Jeannette M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2011
Last updated Mar 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740564103 NPPES
Washington MEDICAID 2074040

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