Miller, Molly

Miller, Molly is an sole proprietor health care provider with primary practice located at 14410 Route 37 , Johnston City IL 62951-3166. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Miller, Molly can be contacted via phone (618) 983-6911.

Contact Information

Primary practice address
14410 Route 37 Johnston City IL 62951-3166
Phone: (618) 983-6911
Fax: (618) 983-2815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209029018 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.029018 Illinois

Profile Details

NPI number 1700648052
LBN Legal business name Miller, Molly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2024
Last updated Apr 22nd, 2026 - about 6 months 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 1700648052 NPPES
Illinois Other 209029018 LICENSE

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