National Provider Identifier

Jessica Lee Miller, LPN

Jessica Lee Miller, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Fairport, NY and a listed phone number of (585) 421-2172.

NPI 1770209215Fairport, NYLicensed Practical Nurse

Profile Overview

NPI
1770209215
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 17, 2022
Last Updated
October 17, 2022

Practice Location

  • 181 Hulburt Road
  • Fairport, NY 14450

Phone: (585) 421-2172

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1770209215
Entity Type
Individual
Last Name
Miller
First Name
Jessica
Middle Name
Lee
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
181 Hulburt Road
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450
Mailing Country
US
Mailing Phone
(585) 421-2172
Mailing Fax
(585) 421-2172
Practice Street Address
181 Hulburt Road
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450
Practice Country
US
Practice Phone
(585) 421-2172
Practice Fax
(585) 421-2172
Enumeration Date
October 17, 2022
Last Updated
October 17, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
October 17, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)