MRS. JENNIFER LEE MILLER RN NPI 1104196658

NPI Information

NPI: 1104196658
Provider Name: MRS. JENNIFER LEE MILLER, RN
Classification: Registered Nurse - 163WS0200X
Entity Type: Individual

Specialization: School

Address:
4184 MILLER ST
WILLIAMSON, NY
ZIP 14589
Phone: (315) 589-9665
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MRS. Jennifer Lee Miller, RN is a school registered nurse in Williamson, NY. MRS. Jennifer Lee Miller, RN NPI is 1104196658. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4184 MILLER ST
WILLIAMSON, NY
ZIP 14589-713
Phone: (315) 589-9665

The enumeration date for this NPI number is 12/30/2011 and was last updated on 12/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WS0200X	Registered Nurse	School	555175-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01391079	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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