MR. JEROME MILLER NPI 1396146163

NPI Information

NPI: 1396146163
Provider Name: MR. JEROME MILLER
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3115 DOUGLAS AVE
DES MOINES, IA
ZIP 50310
Phone: (515) 282-8001
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MR. Jerome Miller is an addiction (substance use disorder) counselor in Des Moines, IA. MR. Jerome Miller NPI is 1396146163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3115 DOUGLAS AVE
DES MOINES, IA
ZIP 50310-307
Phone: (515) 282-8001
Fax: (515) 282-8082

The enumeration date for this NPI number is 9/10/2014 and was last updated on 9/10/2014.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	14007	IOWA	Yes

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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