Active NPI
Jacque C. Millar, NP-C
- Family Nurse Practitioner
- Binghamton, NY
National Provider Identifier
1104903459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F331886-1
- Practice address
- 840 Upper Front St
Occupational Health Clinical Center
Binghamton, NY 13905-1566 - Phone
- (607) 584-9990
- Fax
- (607) 584-9997
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F331886-1 | NY | Primary |
Addresses
Primary practice location
840 Upper Front St
Occupational Health Clinical Center
Binghamton, NY 13905-1566
Mailing address
840 Upper Front St
Occupational Health Clinical Center
Binghamton, NY 13905-1566
Phone (607) 584-9990
Other names 1
- Jacque C. Snover
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1104903459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 UPPER FRONT ST",
"address_2": "OCCUPATIONAL HEALTH CLINICAL CENTER",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139051566",
"telephone_number": "607-584-9990",
"fax_number": "607-584-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 UPPER FRONT ST",
"address_2": "OCCUPATIONAL HEALTH CLINICAL CENTER",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139051566",
"telephone_number": "607-584-9990",
"fax_number": "607-584-9997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLAR",
"first_name": "JACQUE",
"middle_name": "C.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F331886-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUE",
"last_name": "SNOVER",
"middle_name": "C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.