Jacob Miller
Jacob Miller is a Physician Assistant in Fort Drum, New York. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
11050 Mt Belvedere BlvdFort Drum, NY 13602-2603
Phone: (315) 772-2729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1083308605 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 6, 2023 |
| Last updated in NPPES | August 25, 2025 |
| Certification date | August 25, 2025 |
| Mailing address | 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 |
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Michael Lamont, PA-C
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Mr. Kory McCullah, PA-C
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Mrs. Rachel Anne Meirose, PA-C
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MS. Nancy Elizabeth Munoz, PA-C
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Kenneth Ordiz Mutia
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Patrick Murphy Ogden, PA-C
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Eleanor Park
11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 · (315) 772-2778