Individual
MIRANDA ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2460
(902) 271-6060
Mailing address
4640 RIDGE WALK LN, JACKSONVILLE, FL 32257-3715
(904) 556-1414
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11011936
FL
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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