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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1366425100 NPPES
Florida Other Y1129 BCBS
Florida MEDICAID 103394200 BCBS

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