Individual provider · Type 1 NPI

Jessica Lane Miller, PNP

Pediatric Nurse Practitioner · Mooresville, NC

NPI number 1285229583 Active

Practice location

128 Medical Park Rd Ste 200
Mooresville, NC 28117-8579

Call (704) 696-2085 Map

Fax (704) 660-0194

Mailing address

PO Box 1845
Statesville, NC 28687-1845

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5015952 (NC)
Pediatric Nurse Practitioner Primary 363LP0200X5015952 (NC)

Pediatric Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1285229583

Jessica Lane Miller, PNP's National Provider Identifier is 1285229583, issued on Mar 8, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mooresville, NC. The record was last updated on Nov 12, 2024.