IndividualActive
Jacob Miller, PA-C
NPI 1609377191 · Medical Physician Assistant · Washington, DC
Provider details
- NPI number
- 1609377191
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA031435 (DC)
Practice location
4601 Martin Luther King Jr Ave Sw
Washington, DC 20032-1131
Phone: (202) 574-5700
Mailing address
2819 11th St Nw
Washington, DC 20001-3901
Registry dates
- Enumerated
- 2018-02-21
- Last updated
- 2018-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.