Miller, Emily Jo

Miller, Emily Jo is an individual health care provider with primary practice located at 11495 N Penn St Ste 270, Carmel IN 46032-5636. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Miller, Emily Jo can be contacted via phone (317) 938-4559.

Contact Information

Primary practice address
11495 N Penn St Ste 270 Carmel IN 46032-5636
Fax: (317) 343-0336
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28167650A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005643A Indiana

Profile Details

NPI number 1407239569
LBN Legal business name Miller, Emily Jo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2015
Last updated Jan 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407239569 NPPES
Indiana Other P01588249 RR MEDICARE
Indiana MEDICAID 201309280 RR MEDICARE

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