Jenna Rae Miller
Physician Assistant in Westfield, MA. Individual provider (NPI-1).
NPI number1265099485
StatusActive
Last updated in NPPESJul 15, 2020
Details
- NPI
- 1265099485
- Entity type
- Individual (NPI-1)
- Name
- Jenna Rae Miller
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2019
- Certification date
- Jul 15, 2020
- Last updated
- Jul 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA7281 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
176 Susan DrWestfield, MA 01085-1435
Phone 413-454-2213
Mailing address
176 Susan DrWestfield, MA 01085-1435
Phone 413-454-2213
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All 22 Physician Assistant providers in Westfield · All 1,072 providers in Westfield
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