Doctor Name: | MRS. JAMIE MORGAN MILLER |
NPI Number: | 1447593041 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 17483 |
Business Practice Address: | 301 Grady Rd Etowah, TN - 373311924 |
Business Phone Number: | 4232632444 |
Business Fax Number: | |
Mailing Address: | 929 Oakland Rd, SWEETWATER |
State: | TN |
Postal Code: | 378745273 |
Phone Number: | 4233684800 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2013 |
NPI Last Update Date: | 04/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 17483 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |