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Jaclyn T Miller, NP
Nurse Practitioner in Menomonie, Wisconsin
NPI 1790471332

Jaclyn T Miller is a Nurse Practitioner based in Green Bay, WI. Jaclyn T Miller practices in Menomonie, WI and has the professional credentials of NP. The NPI Number for Jaclyn T Miller is 1790471332 and holds a License No. 13831-33 (Wisconsin).

The current practice location address for Jaclyn T Miller is 2919 Stout Rd, Menomonie, WI and can be reached out via phone at 920-496-4700.

Location: 2919 Stout Rd, Menomonie, WI, 54307-9070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790471332
Provider Name
Jaclyn T Miller
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2919 Stout Rd, Menomonie, WI, 54307-9070
Phone Number
920-496-4700
Fax Number
Provider Enumeration Date
04/17/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100248089 05 WI
institution
Provider Business Practice Location Address Details
Address
2919 Stout Rd
City
Menomonie
State
Wisconsin
Zip
54751-2313
Phone Number
920-496-4700
Fax Number
person
Provider Business Mailing Address Details
Address
2919 Stout Rd
City
Menomonie
State
Wisconsin
Zip
54751-2313
Phone Number
920-496-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
13831-33 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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