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
Phone: (717) 203-9503
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578768578 | NPPES |
| North Carolina | Other | 178X3 | BC/BS |
| North Carolina | MEDICAID | 1578768578 | BC/BS |
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