Provider Demographics
NPI:1720049612
Name:MILLER, JESSICA M (MD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:M
Last Name:MILLER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:DEPARTMENT OF VETERANS AFFAIRS MIDDLEBURG VA
Mailing Address - Street 2:400 COLLEGE DR, SUITE 200
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068
Mailing Address - Country:US
Mailing Address - Phone:904-213-2700
Mailing Address - Fax:352-384-3081
Practice Address - Street 1:ANDREW K BAKER VA CLINIC
Practice Address - Street 2:400 COLLEGE DR, SUITE 200
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068
Practice Address - Country:US
Practice Address - Phone:904-213-2700
Practice Address - Fax:352-384-3081
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2023-05-04
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Provider Licenses
StateLicense IDTaxonomies
WI47629-020207Q00000X
FLME108708207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine