IndividualActive
Jessica Miller
NPI 1609442755 · Surgical Physician Assistant · Dodge City, KS
Provider details
- NPI number
- 1609442755
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
112 W Ross Blvd Ste C
Dodge City, KS 67801-7220
Phone: (620) 371-6900
Approximate (ZIP-level) locationGet directions
Mailing address
204 Plaza Ave
Dodge City, KS 67801-2724
Registry dates
- Enumerated
- 2021-05-30
- Last updated
- 2022-08-25
- Certified
- 2022-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.