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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACKY ADAM MILLER, DNP,FAWM

Active

DR. JACKY ADAM MILLER, DNP,FAWM is a Acute Care Nurse Practitioner healthcare provider located in CORTEZ, Colorado. NPI 1750309332 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · CORTEZ, CO

Registration Details

NPI Number
1750309332
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2006 (20.04708853502 yrs)
Last Updated
Apr 9, 2019
Licenses
R51146 (NM)
167292 (CO)
624662 (TX)
5008214 (NC)

Practice Information

Address
2095 N DOLORES RD
CORTEZ, CO, 813218924
Browse CO providers · Browse ZIP 81321
Phone
9705648086
Fax
9705648087
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Acute Care Nurse Practitioner
Additional Specialty
Acute Care Nurse Practitioner
Additional Specialty
Acute Care Nurse Practitioner

Other Acute Care Nurse Practitioner Providers in CORTEZ, CO

Name Credential NPI
WENDY JEAN STEVENS CRNP 1194855924
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.