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Jade Marie Miller
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1285020248

Jade Marie Miller is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Jade Marie Miller practices in Fort Wayne, IN. The NPI Number for Jade Marie Miller is 1285020248 and holds a License No. F0914352 (Indiana).

The current practice location address for Jade Marie Miller is 2121 Lake Ave, Fort Wayne, IN and can be reached out via phone at 260-426-5431.

Location: 2121 Lake Ave, Fort Wayne, IN, 46805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285020248
Provider Name
Jade Marie Miller
Credential
Provider Entity Type
Individual
Gender
Female
Address
2121 Lake Ave, Fort Wayne, IN, 46805
Phone Number
260-426-5431
Fax Number
Provider Enumeration Date
04/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2121 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
person
Provider Business Mailing Address Details
Address
2121 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F0914352 (Indiana)
Definition
Definition to come...
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