Provider Demographics
NPI:1801334982
Name:MILLER, JAMIE LYNNE (APRN CP)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LYNNE
Last Name:MILLER
Suffix:
Gender:F
Credentials:APRN CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 S. WHEELING AVENUE, STE 510
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104
Mailing Address - Country:US
Mailing Address - Phone:918-747-5200
Mailing Address - Fax:918-858-0290
Practice Address - Street 1:2000 S. WHEELING AVENUE STE 510
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104
Practice Address - Country:US
Practice Address - Phone:918-747-5200
Practice Address - Fax:918-858-0290
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK100610207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology