Individual provider · Type 1 NPI

Jade Marie Miller

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1285020248 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Mailing address

2121 Lake Avenue
Fort Wayne, IN 46805

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF0914352 (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1285020248

Jade Marie Miller's National Provider Identifier is 1285020248, issued on Apr 7, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 7, 2015.