Miller, Marsha Patrice

Miller, Marsha Patrice is an sole proprietor health care provider with primary practice located at 1583 West 18Th Street , Jacksonville FL 32209-4866. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Miller, Marsha Patrice can be contacted via phone (904) 888-1493.

Contact Information

Primary practice address
1583 West 18Th Street Jacksonville FL 32209-4866
Phone: (904) 888-1493
Fax: (904) 354-0830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN1316831 Florida

Profile Details

NPI number 1629354899
LBN Legal business name Miller, Marsha Patrice
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2011
Last updated Jul 18th, 2023 - about 3 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 1629354899 NPPES
Florida MEDICAID 689294900
Florida MEDICAID 685158496

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