Individual
AMY L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1802 E 10TH ST, JEFFERSONVILLE, IN 47130
(812) 503-5100
(770) 573-9513
Mailing address
2100 MARKET ST STE 101, CHARLESTOWN, IN 47111-9535
(812) 503-5100
(770) 573-9513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3007741
KY
363LA2200X
Adult Health Nurse Practitioner
3007741
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
71004678A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201197160
—
IN
05
—
7100231300
—
KY
Enumeration date
10/19/2012
Last updated
11/05/2024
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