Individual provider · Type 1 NPI

Jacob Daniel Miller

Student in an Organized Health Care Education/Training Program · Slippery Rock, PA

NPI number 1063135960 Active

Practice location

106 Fairview Dr Apt 103
Slippery Rock, PA 16057-1542

Call (330) 221-0835 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1063135960

Jacob Daniel Miller's National Provider Identifier is 1063135960, issued on Sep 26, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Slippery Rock, PA. The record was last updated on Sep 26, 2022.