Miller, Jennifer Lee

Miller, Jennifer Lee is an individual health care provider with primary practice located at 4184 Miller St , Williamson NY 14589-9713. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Miller, Jennifer Lee can be contacted via phone (315) 589-9665.

Contact Information

Primary practice address
4184 Miller St Williamson NY 14589-9713
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 555175-1 New York

Profile Details

NPI number 1104196658
LBN Legal business name Miller, Jennifer Lee
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2011
Last updated Dec 30th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104196658 NPPES
New York MEDICAID 01391079

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