Jacqueline Miles
Nurse Practitioner - Primary Care
5224 S State Highway 360 Ste 230
Grand Prairie
, Texas 75052-0964
Jacqueline Miles
Nurse Practitioner - Primary Care
5224 S State Highway 360 Ste 230
Grand Prairie
, Texas 75052-0964
(972) 522-1053
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Jacqueline Miles
- 5224 S State Highway 360
- Grand Prairie, TX
- Zip : 75052-0950
- Fax : (972) 522-1053
- Phone : (972) 552-0691
Second Address
- Jacqueline Miles
- 5224 S State Highway 360 Ste 230
- Grand Prairie, TX
- Zip : 75052-0964
- Phone : (972) 522-0691
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 874631 | TX |
National Provider Identifier
| NPI | 1073143327 |
|---|---|
| Provider Name | Jacqueline Miles |
| First Address | Grand Prairie, TX 75052-0950 |
| Second Address | Grand Prairie, TX 75052-0964 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2020 |
| Last Update Date | 03/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.