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Individual

NICHOLE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1932 ALCOA HWY STE 150, KNOXVILLE, TN 37920-1532
(865) 305-2273
(865) 305-7311
Mailing address
1932 ALCOA HWY STE 150, KNOXVILLE, TN 37920-1532
(865) 305-2273

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3521
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q033835
TN
Enumeration date
04/18/2017
Last updated
08/29/2019
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