Miller, Nedra Jolyn
Miller, Nedra Jolyn is an sole proprietor health care provider with primary practice located at 5341 Grand Blvd Ste 105 , New Port Richey FL 34652-4004. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Miller, Nedra Jolyn can be contacted via phone (800) 470-6846.Contact Information
Primary practice address
5341 Grand Blvd Ste 105
New Port Richey FL 34652-4004
Phone: (800) 470-6846
Fax: (727) 478-0618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | APRN2750622 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN2750622 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | APRN2750622 | Florida |
Profile Details
| NPI number | 1366425100 |
|---|---|
| LBN Legal business name | Miller, Nedra Jolyn |
| Credentials | A-APRN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Feb 21st, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366425100 | NPPES |
| Florida | Other | Y1129 | BCBS |
| Florida | MEDICAID | 103394200 | BCBS |
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