Provider Demographics
NPI:1396719167
Name:MILLER-JOCHUM, FRANCES S (CNS)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:S
Last Name:MILLER-JOCHUM
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660599
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75266-0599
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1936 AMELIA COURT
Practice Address - Street 2:GERIATRIC CENTER & SENIOR SERVICES
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7706
Practice Address - Country:US
Practice Address - Phone:214-590-8369
Practice Address - Fax:214-590-8780
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX538334364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177893804Medicaid
TX177893805Medicaid
TX8N4685OtherBLUE CROSS BLUE SHIELD
TX177893802Medicaid
TX177893801Medicaid
TX177893803Medicaid
TX177893805Medicaid
TX8G2695Medicare PIN