Individual
AMY LEEANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
404 LINCOLN DR, HERRIN, IL 62948-3789
(618) 993-0056
(618) 993-0752
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026434
IL
Other
Enumeration date
10/15/2019
Last updated
05/05/2026
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