Individual
EMILY JO MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11495 N PENN ST, STE 270, CARMEL, IN 46032-5636
(317) 938-4559
(317) 343-0336
Mailing address
11495 N PENN ST, STE 270, CARMEL, IN 46032-5636
(317) 938-4559
(317) 343-0336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28167650A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005643A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201309280
—
IN
01
—
P01588249
RR MEDICARE
IN
Enumeration date
07/07/2015
Last updated
01/30/2020
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