Individual provider · Type 1 NPI
Jacqueline Mary Miller, MSN, ANP-C
Primary Care Nurse Practitioner · Edgartown, MA
NPI number
1699009787
Active
Practice location
245 Edgartown- Vineyard Haven Road, Island Health Care
Edgartown, MA 02539
Fax (508) 939-8644
Mailing address
245 Vineyard Haven -Edgartown Road, P.o Box 9000
Edgartown, MA 02539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 213927 (MA) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1699009787
Jacqueline Mary Miller, MSN, ANP-C's National Provider Identifier is 1699009787, issued on Sep 23, 2009. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Edgartown, MA. The record was last updated on Sep 23, 2009.