Individual
GINA MILLER IDOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 INDIAN WELLS CIR, LEXINGTON, NC 27295-8674
(336) 247-1636
Mailing address
600 INDIAN WELLS CIR, LEXINGTON, NC 27295-8674
(336) 247-1636
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
IDOL-ODMOR
NC
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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