Individual provider · Type 1 NPI
Jacqueline Miles, FNP
Primary Care Nurse Practitioner · Grand Prairie, TX
NPI number
1073143327
Active
Practice location
5224 S State Highway 360 Ste 230
Grand Prairie, TX 75052-0964
Mailing address
5224 S State Highway 360
Grand Prairie, TX 75052-0950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 874631 (TX) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
Other primary care nurse practitioner providers in Grand Prairie
About NPI 1073143327
Jacqueline Miles, FNP's National Provider Identifier is 1073143327, issued on Jan 24, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Grand Prairie, TX. The record was last updated on Mar 3, 2020.