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Individual
LISA ANN MILLER
Active
Individual
LISA ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP179064
GA
363LF0000X
Family Nurse Practitioner
Primary
RN179064
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01249758
AMERIGROUP
GA
01
—
511968
WELLCARE
GA
05
—
676775916A
—
GA
Enumeration date
01/08/2009
Last updated
02/11/2026
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