Individual
KANISHA L. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 W PLYMOUTH AVE, DELAND, FL 32720-2753
(407) 732-4272
(407) 732-4579
Mailing address
308 RIDGE RD, TALLAHASSEE, FL 32305-7006
(850) 443-3057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363L00000X
Nurse Practitioner
Primary
ARNP11002017
FL
Other
Enumeration date
05/24/2019
Last updated
02/22/2022
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