Judith Barbara Miller, RN
Individual provider Active NPI Registered Nurse · Jackson, WI
NPI 1104952597 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104952597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 80525030 (WI)
- Practice address
- 3114 Sherman Parc Circle
Jackson, WI 53037 - Phone
- (262) 677-8521
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 80525030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 80525030 | WI | Yes |
Addresses
Primary practice location
3114 Sherman Parc Circle
Jackson, WI 53037
Mailing address
6339 Glen CT
West Bend, WI 53095-9112
Phone (262) 629-5389
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39833500 | Medicaid | WI |
Other names
- Miss Judith Barbara Hecker
Other providers in Jackson, WI
- Medvidi Health
- Jessica Ann Melstrand
- Jennifer Lynn Meyer
- Karen Elizabeth Micallef
- Lauren Ann Mies
- Elizabeth Marie Mortag
- Nohc Jackson Senior Living LLC
- Norline Healthcare, Inc
- Eric Nysse
- John O'Leary
All providers in Jackson, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.