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Individual

MARY WHITSITT MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2018 CLINCH AVENUE, SOUTH TOWER 1ST FLOOR, KNOXVILLE, TN 37916-3791
(865) 637-8481
(865) 246-7560
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
8357
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q002739
TN
Enumeration date
12/19/2006
Last updated
04/08/2022
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