Jessica Nicole Miller, LPN
Individual provider Active NPI Licensed Practical Nurse · Bainbridge, NY
NPI 1326437765 · NPPES record last updated Jan 22, 2015
Key facts
- NPI
- 1326437765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 318313-1 (NY)
- Practice address
- 497 E Afton Rd
Bainbridge, NY 13733-3275 - Phone
- (607) 761-5117
- NPI assigned
- Jan 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318313-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 318313-1 | NY | Yes |
Addresses
Primary practice location
497 E Afton Rd
Bainbridge, NY 13733-3275
Mailing address
497 E Afton Rd
Bainbridge, NY 13733-3275
Phone (607) 761-5117
Other providers in Bainbridge, NY
- Joelle Greene
- Kenneth Ryan Greene
- Edwin Paul Greenman Jr.
- Sharon Hager
- Linda Anne Holbert
- Linda Noble
- Laurie Ann O'Brien
- Morgan Parish
- Jamie Lee Price
- Leora P. Ray
All providers in Bainbridge, NY · Licensed Practical 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 Jan 22, 2015. 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.