Miller, Elesa Ann

Miller, Elesa Ann is an individual health care provider with primary practice located at 1004 Greystone Sq , Jackson TN 38305-3580. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Miller, Elesa Ann can be contacted via phone (731) 664-1773.

Contact Information

Primary practice address
1004 Greystone Sq Jackson TN 38305-3580
Phone: (731) 664-1773
Fax: (731) 664-1751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 14222 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN14222 Tennessee

Profile Details

NPI number 1821328121
LBN Legal business name Miller, Elesa Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2010
Last updated Nov 5th, 2019 - about 7 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 1821328121 NPPES
Tennessee MEDICAID 1518161

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