Individual provider · Type 1 NPI

Jackson Thomas Miller

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1013822709 Active

Practice location

780 Rose Street
Lexington, KY 40536-0001

Call (859) 323-6161 Map

Mailing address

4030 Tates Creek Rd Apt 2941
Lexington, KY 40517-3092

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013822709

Jackson Thomas Miller's National Provider Identifier is 1013822709, issued on Aug 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Aug 17, 2026.