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Individual

JAMES O MILLER

Active
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Individual

JAMES O MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

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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