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Jerome Miller

NPI 1396146163 · on the registry since 2014

Practice

Address
2570 73rd St
Urbandale, IA 50322
Phone
(515) 215-4205
Fax
(515) 216-4827
Organisation at this address
Life Skillz, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa