Individual provider · Type 1 NPI

Samantha Grace Miller

Pediatric Nurse Practitioner · North Augusta, SC

NPI number 1801636691 Active

Practice location

140 Allen Ct
North Augusta, SC 29860-9782

Mailing address

745 Crestwood Pkwy
Evans, GA 30809-0958

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN292487 (GA)
Pediatric Nurse Practitioner 363LP0200XRN292487 (GA)
Pediatric Nurse Practitioner Primary 363LP0200XAPN.29415 (SC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1801636691

Samantha Grace Miller's National Provider Identifier is 1801636691, issued on May 29, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in North Augusta, SC. The record was last updated on Jan 3, 2025.