Miller, Jessica Dawn
Miller, Jessica Dawn is an individual health care provider with primary practice located at 100 N Mario Capecchi Dr , Salt Lake City UT 84113-1103. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Miller, Jessica Dawn can be contacted via phone (801) 662-2473.Contact Information
Primary practice address
100 N Mario Capecchi Dr
Salt Lake City UT 84113-1103
Phone: (801) 662-2473
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP60976786 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP60976786 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 7664701-4405 | Utah |
Profile Details
| NPI number | 1487291639 |
|---|---|
| LBN Legal business name | Miller, Jessica Dawn |
| Credentials | FNP/AGACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2019 |
| Last updated | Apr 10th, 2023 - about last year |
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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