Individual
KANISHA R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10714 HIGHWAY 431, SAINT AMANT, LA 70774-3904
(225) 644-0005
(225) 644-0085
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 644-0005
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10748-33
WI
363LF0000X
Family Nurse Practitioner
10748-33
WI
363LF0000X
Family Nurse Practitioner
Primary
238005
LA
Other
Enumeration date
05/28/2021
Last updated
11/17/2025
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