Individual provider · Type 1 NPI

Jesse Julian Miller, MD

Sports Medicine (Family Medicine) Physician · State College, PA

NPI number 1114373131 Active

Practice location

143 Hospital Drive, Ste 112
State College, PA 16803-6706

Call (800) 243-1455 Map

Fax (814) 863-7803

Mailing address

500 University Dr, Mc CA410
Hershey, PA 17033-2360

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X84645 (SC)
Sports Medicine (Family Medicine) Physician Primary 207QS0010XMD479129 (PA)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1114373131

Jesse Julian Miller, MD's National Provider Identifier is 1114373131, issued on May 9, 2016. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in State College, PA. The record was last updated on Jul 24, 2025.