Individual provider · Type 1 NPI

Amanda Miller, FNP

Family Nurse Practitioner · Gulfport, MS

NPI number 1609274604 Active

Practice location

4500 13th St
Gulfport, MS 39501-2515

Mailing address

12413 Corries Pl
Gulfport, MS 39503-8154

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR871802 (MS)
Family Nurse Practitioner Primary 363LF0000XR871802 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1609274604

Amanda Miller, FNP's National Provider Identifier is 1609274604, issued on Dec 8, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gulfport, MS. The record was last updated on Jan 22, 2015.