Individual
JAMES O MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
11125 DUNN RD STE 406, SAINT LOUIS, MO 63136-6132
(314) 653-5484
Mailing address
11125 DUNN RD STE 406, SAINT LOUIS, MO 63136-6132
(314) 653-5484
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
155854
MO
363LF0000X
Family Nurse Practitioner
Primary
155854
MO
363LF0000X
Family Nurse Practitioner
209004407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629011846
NPI
IL
01
—
P01323887
RR MEDICARE
IL
Enumeration date
06/14/2006
Last updated
06/21/2022
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