Individual provider · Type 1 NPI

Reagan Patrick Milliet

Student in an Organized Health Care Education/Training Program · Jackson, MS

NPI number 1750118246 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

600 Camdenpark Dr
Ridgeland, MS 39157-3616

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750118246

Reagan Patrick Milliet's National Provider Identifier is 1750118246, issued on Sep 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on Sep 18, 2024.