Provider Demographics
NPI:1336037290
Name:MILLER, JONATHAN (FDN-P)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:MILLER
Suffix:
Gender:M
Credentials:FDN-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10C HARBOUR ONE
Mailing Address - Street 2:458 DES VOUEX ROAD W
Mailing Address - City:SAI WAN
Mailing Address - State:HONG KONG
Mailing Address - Zip Code:00000
Mailing Address - Country:HK
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10C HARBOUR ONE
Practice Address - Street 2:458 DES VOUEX ROAD W
Practice Address - City:SAI WAN
Practice Address - State:HONG KONG
Practice Address - Zip Code:00000
Practice Address - Country:HK
Practice Address - Phone:920-764-4651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner