Individual
AMANDA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
502 SOUTHERN WOODS TRL, KATHLEEN, GA 31047-2931
(478) 662-3907
Mailing address
502 SOUTHERN WOODS TRL, KATHLEEN, GA 31047-2931
(478) 662-3907
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN299266
GA
363L00000X
Nurse Practitioner
Primary
RN299266
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN299266
AMERICAN ACADEMY NURSE PRACTITIONER
GA
Enumeration date
02/04/2025
Last updated
05/29/2025
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