Jacquelyn L Miller (NPI# 1457724866, PAC ID# 3274823448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457724866 |
| PAC ID by PECOS | 3274823448 |
| Professional Enrollment ID | I20160531000855 |
| Full Name | Jacquelyn L Miller |
| Organization Legal Name | INSTITUTE FOR RESEARCH AND EDUCATION IN FAMILY MEDICINE |
| Address |
11037 Breezy Point Ln Saint Louis MO 63136-6114 |
| Phone Number | 3149538041 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608833587 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11037 Breezy Point Ln, Saint Louis, MO 63136-6114 | 3149538041 | INSTITUTE FOR RESEARCH AND EDUCATION IN FAMILY MEDICINE |
| Organization Legal Name | INSTITUTE FOR RESEARCH AND EDUCATION IN FAMILY MEDICINE |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynelle Lois Hinden | Nurse Practitioner | Institute for Research and Education In Family Medicine | 4222 Delor St, Saint Louis, MO 63116-2304 |
| Brook C Raye | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Marta R Gray | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| David C Campbell | Family Medicine | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Stacy L Lobello | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Chontay L Mckay | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Kenya S Shotwell | Nurse Practitioner | Institute for Research and Education In Family Medicine | 9417 S Broadway, Saint Louis, MO 63125-2009 |
| Street Address |
11037 BREEZY POINT LN |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63136-6114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanika C Mcclary | Nurse Practitioner | 10135 W Florissant Ave, Saint Louis, MO 63136-2103 | |
| Bhajan S Dara | Internal Medicine | Metro St Louis Renal Services Inc | 10160 W Florissant Ave, Suite 200, Saint Louis, MO 63136-2104 |
| Pradeep A Chandra | Cardiovascular Disease (cardiology) | St Louis Heart and Vascular PC | 2880 Netherton Dr, Suite 102, Saint Louis, MO 63136-4649 |
| Akinrinola Fatoki | Family Medicine | 2880 Netherton Dr, Suite 200, Saint Louis, MO 63136-4649 | |
| Reynal L Caldwell | General Practice | 2880 Netherton Dr, Suite 103, Saint Louis, MO 63136-4649 | |
| Meredith A Schoene | Nurse Practitioner | David J. Pernikoff, Md, PC | 2865 Netherton, St Louis, MO 63136-4674 |
| Juan O Carden | Hematology/oncology | 2865 Netherton Dr, Saint Louis, MO 63136-4674 | |
| Kamil Dostalik | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Steven M Mense | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Michael P Tuckey | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Find all physicians in zip 63136 | |||
| City | SAINT LOUIS |
| Zip Code | 63136 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT LOUIS + NURSE PRACTITIONER |
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| 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.