GERALDSTINE D MILLER


Address: 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116
Phone: 6013624471

GERALDSTINE D MILLER (NPI# 1114931136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114931136
Entity Type Individual
Full Name GERALDSTINE D MILLER
Credential NP
Practice Address 1500 E Woodrow Wilson Ave
Jackson
MS 39216-5116
Practice Telephone 6013624471
Practice Fax Number 6013683917
Mailing Telephone 6013624471
Mailing Fax Number 6013683917
Enumeration Date 2006-07-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
R640212 MS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1500 E WOODROW WILSON AVE
City JACKSON
State MS
Zip Code 39216-5116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740264035 Sadeka Tamanna Internal Medicine 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2005-12-01
1881291383 Regina Marie Riley Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-10-07
1811502024 Wendy Hopkins Registered Nurse 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-09-14
1528679420 Christopher Michael Mcguffey Physical Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-08-13
1124637319 Kathryn Martin Lewis Registered Nurse 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-24
1932727468 Davis Mckenna Simms Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-10
1154948222 Tiffany Floyd Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-06
1962029389 Devonda Y Elliott Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-01
1629693759 Latorya Lashay Smith Dietitian, Registered 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-06-15
1932721669 Aubrey Cain Young Pharmacist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952965543 Sheila Kivali Olira Nurse Practitioner 5 Windsong Ct, Jackson, NJ 08527-4081 2019-04-29
1366805608 Laurie Brown Nurse Practitioner 6805 Squaw Creek Rd, Jackson, WY 83001-8888 2016-04-04
1407244171 Bethesda Health Services, LLC Nurse Practitioner 29 N Star Dr Ste D, Jackson, TN 38305-6657 2015-01-05
1245227313 Susan C Martin Nurse Practitioner 1385 S Highland Ave Ste B1, Jackson, TN 38301-7547 2005-10-04
1437766011 Shannon Rae Smith Nurse Practitioner 1102 E Michigan Ave, Jackson, MI 49201-1802 2020-09-28
1275189938 April Terrain Perry Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213 2019-08-16
1801367073 Careline Palliative Care LLC Nurse Practitioner 113 W Michigan Ave Ste 102, Jackson, MI 49201-1340 2018-12-16
1629578273 Orlesha Carroll Bishop Nurse Practitioner 805 E River Pl, Jackson, MS 39202-3486 2018-02-20
1962901587 Hannah Foreman Ivison Nurse Practitioner 2969 Curran Dr N # 200, Jackson, MS 39216 2018-02-09
1598274623 Allison Leigh Princiotta Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2017-09-20
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Competitor

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City JACKSON
Zip Code 39216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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