Jessica L Miller (NPI# 1174019798, PAC ID# 9234489915) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174019798 |
| PAC ID by PECOS | 9234489915 |
| Professional Enrollment ID | I20180829003372 |
| Full Name | Jessica L Miller |
| Organization Legal Name | DERMATOLOGY OFFICE PC |
| Address |
225 Physicians Park Suite 203 Poplar Bluff MO 63901-3921 |
| Phone Number | 5736864750 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244392009 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260183 | SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 | 5736864750 | DERMATOLOGY OFFICE PC |
| Organization Legal Name | DERMATOLOGY OFFICE PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandice A Rogers | Nurse Practitioner | Dermatology Office PC | 1707 Linwood Dr, Suite B, Paragould, AR 72450-5365 |
| Vanessa Adams | Nurse Practitioner | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Zachary L Ferguson | Physician Assistant | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Lance F Yeoman | Dermatology | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Courtney Jean Stewart | Nurse Practitioner | Dermatology Office PC | 1707 Linwood Dr, Suite B, Paragould, AR 72450-5365 |
| Wendy Y Raney | Nurse Practitioner | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Debra G Russell | Nurse Practitioner | Dermatology Office PC | 225 Physicians Park, Poplar Bluff, MO 63901-3921 |
| Phyllis A Hansen | Nurse Practitioner | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Street Address |
225 PHYSICIANS PARK SUITE 203 |
| City | POPLAR BLUFF |
| State | MO |
| Zip | 63901-3921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler N Kramer | Optometry | 225 Physicians Park, Suite 107, Poplar Bluff, MO 63901-3918 | |
| Amber W Richardson | Psychologist, Clinical | Big Springs Medical Association | 225 Physicians Park, Suite 303, Poplar Bluff, MO 63901-3930 |
| Vanessa Adams | Nurse Practitioner | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Valerie Anne Miller | Psychiatry | Big Springs Medical Association | 225 Physicians Park, Suite 303, Poplar Bluff, MO 63901-3930 |
| Zachary L Ferguson | Physician Assistant | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Shanna K Carr | Registered Dietitian Or Nutrition Professional | Saint Francis Medical Center | 225 Physicians Park, Suite 400, Poplar Bluff, MO 63901-3923 |
| Lance F Yeoman | Dermatology | Dermatology Office PC | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3921 |
| Erica D Smith | Psychiatry | Big Springs Medical Association | 225 Physicians Park, Suite 303, Poplar Bluff, MO 63901-3930 |
| Shauna Desai Shah | Psychiatry | Big Springs Medical Association | 225 Physicians Park, Suite 303, Poplar Bluff, MO 63901-3930 |
| Ruth M Hampton | Nurse Practitioner | Saint Francis Medical Center | 225 Physicians Park, Suite 400, Poplar Bluff, MO 63901-3923 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Marie Cisne | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Savannah Coin | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Hanumanth K Reddy | Cardiovascular Disease (cardiology) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Alexandros Georgolios | Otolaryngology | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Michael J. Del Rio | Thoracic Surgery | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Perry Arthur Rathbun | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Silvia Pagoada Vallecillo | General Surgery | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Mark W Clark | Certified Registered Nurse Anesthetist (crna) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| James D Holden | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Timothy P Kordick | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Find all physicians in zip 63901 | |||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | POPLAR BLUFF + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica L Miller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.