Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE JULIAN MILLER, M.D.
ActiveJESSE JULIAN MILLER, M.D. is a Sports Medicine healthcare provider located in STATE COLLEGE, Pennsylvania. NPI 1114373131 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · STATE COLLEGE, PA
Registration Details
- NPI Number
- 1114373131
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2016 (10.274732065071 yrs)
- Last Updated
- Jul 24, 2025
- Licenses
-
84645 (SC)MD479129 (PA)
Practice Information
- Address
-
143 HOSPITAL DRIVESTE 112STATE COLLEGE, PA, 168036706Browse PA providers · Browse ZIP 16803
- Phone
- 8002431455
- Fax
- 8148637803
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in STATE COLLEGE, PA
| Name | Credential | NPI |
|---|---|---|
| MEHWISH MOINUDDIN | D.O. | 1992239354 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.