Miller, Jennifer Mae

Miller, Jennifer Mae is an sole proprietor health care provider with primary practice located at 14921 Stonegreen Ln , Huntersville NC 28078-9784. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Miller, Jennifer Mae can be contacted via phone (717) 203-9503.

Contact Information

Primary practice address
14921 Stonegreen Ln Huntersville NC 28078-9784
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03642 North Carolina

Profile Details

NPI number 1578768578
LBN Legal business name Miller, Jennifer Mae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2007
Last updated Jul 9th, 2020 - about 4 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 1578768578 NPPES
North Carolina Other 178X3 BC/BS
North Carolina MEDICAID 1578768578 BC/BS

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