IndividualActive
Jack Miles, CRNA
NPI 1366971533 · Certified Registered Nurse Anesthetist · Washington, DC
Provider details
- NPI number
- 1366971533
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- RN1026396 (DC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
3800 Reservoir Rd Nw
Washington, DC 20007-2113
Phone: (202) 444-2000
Approximate (ZIP-level) locationGet directions
Mailing address
1441 U St Nw Apt 708
Washington, DC 20009-3530
Additional practice locations (1)
- 800 Washington StBoston, MA 02111-1552Phone: (617) 636-5000
Registry dates
- Enumerated
- 2017-06-09
- Last updated
- 2019-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.