Individual
PAULA R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3451 GOODMAN RD E STE 115, SOUTHAVEN, MS 38672-9304
(662) 890-5555
(662) 890-8899
Mailing address
3451 GOODMAN E RD 115, SOUTHAVEN, MS 38672-9304
(662) 890-5555
(662) 420-7525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
110615
NE
363LF0000X
Family Nurse Practitioner
Primary
33568
TN
Other
Enumeration date
06/30/2006
Last updated
08/25/2023
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