Miller, Jill Spencer
Miller, Jill Spencer is an individual health care provider with primary practice located at 120 Se 4Th St , Evansville IN 47708-1607. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Miller, Jill Spencer can be contacted via phone (812) 426-6638.Contact Information
Primary practice address
120 Se 4Th St
Evansville IN 47708-1607
Phone: (812) 426-6638
Fax: (812) 858-6802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3007664 | Kentucky |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 3007664 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3007664 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71010252A | Indiana |
Profile Details
| NPI number | 1952650749 |
|---|---|
| LBN Legal business name | Miller, Jill Spencer |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2012 |
| Last updated | Aug 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952650749 | NPPES |
| Kentucky | MEDICAID | 1700359290 |
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