Individual provider · Type 1 NPI

Jacob Scott Miller, PA-C

Medical Physician Assistant · Washington, DC

NPI number 1609377191 Active

Practice location

4601 Martin Luther King Jr Ave SW
Washington, DC 20032-1131

Call (202) 574-5700 Map

Mailing address

2819 11th St NW
Washington, DC 20001-3901

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA031435 (DC)
Medical Physician Assistant Primary 363AM0700XPA031435 (DC)

Medical Physician Assistant: Definition to come...

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About NPI 1609377191

Jacob Scott Miller, PA-C's National Provider Identifier is 1609377191, issued on Feb 21, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Washington, DC. The record was last updated on Feb 21, 2018.