Individual provider · Type 1 NPI
Jacquelyn Miller, PA - C
Medical Physician Assistant · Dallas, TX
NPI number
1649249665
Active
Practice location
11970 N Central Expy
Dallas, TX 75243-3768
Mailing address
1105 Central Expy N, Suite 120
Allen, TX 75013-6103
Other practice locations
- 7777 Forest Ln, Dallas, TX 75230-2571 · (972) 566-7000
- 1105 Central Expy N, Suite 120, Allen, TX 75013-6103 · (972) 727-9995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA00284 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1649249665
Jacquelyn Miller, PA - C's National Provider Identifier is 1649249665, issued on Mar 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Jan 4, 2022.