Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | RN154270 | GA |
NPI | 1154440915 |
---|---|
Provider Name | Jaime Elizabeth Miller |
First Address | Atlanta, GA 30365 |
Second Address | Atlanta, GA 30365 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 08/07/2007 |