Individual
TIFFANY DANIELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
607 S MAIN ST UNIT E, KING, NC 27021-9016
(336) 983-9111
Mailing address
607 S MAIN ST UNIT E, KING, NC 27021-9016
(336) 983-9111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
303473
NC
363L00000X
Nurse Practitioner
Primary
5017453
NC
Other
Enumeration date
01/04/2023
Last updated
01/06/2023
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