Miller, Jacquelyn

Miller, Jacquelyn is an individual health care provider with primary practice located at 11970 N Central Expy , Dallas TX 75243-3768. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Miller, Jacquelyn can be contacted via phone (972) 940-8000.

Contact Information

Primary practice address
11970 N Central Expy Dallas TX 75243-3768
Phone: (972) 940-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00284 Texas

Profile Details

NPI number 1649249665
LBN Legal business name Miller, Jacquelyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 4th, 2022 - 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 1649249665 NPPES
Texas Other PA00284 PHYSICIAN ASSISTANT PERMI

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