Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 70 | TN |
NPI | 1154873396 |
---|---|
Provider Name | Jennifer Lee Miller |
First Address | Nashville, TN 37209-2157 |
Second Address | Nashville, TN 37209-2157 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2016 |
Last Update Date | 03/11/2016 |