Jennifer Lee Miller, RN
Individual provider Active NPI School Registered Nurse · Williamson, NY
NPI 1104196658 · NPPES record last updated Dec 30, 2011
Key facts
- NPI
- 1104196658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 555175-1 (NY)
- Practice address
- 4184 Miller St
Williamson, NY 14589-9713 - Phone
- (315) 589-9665
- NPI assigned
- Dec 30, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 555175-1 | NY | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamson Central School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 555175-1 | NY | Yes |
Addresses
Primary practice location
4184 Miller St
Williamson, NY 14589-9713
Mailing address
4184 Miller St
PO Box 900
Williamson, NY 14589-9713
Phone (315) 589-9665
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01391079 | Medicaid | NY |
Other providers in Williamson, NY
- Gary Robert Lundahl
- Wendy Marie Marconi
- Emily Rose Markham
- Irshad A Merkand
- Michael a. Herbert. DDS
- Michael Brandon Miller
- Hope J Monje
- Bethany Renee Moore
- Hayley Katherine Musclow
- Chasity Jacquel Myrthil
All providers in Williamson, NY · School Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.