Basic Information
Provider Information
NPI: 1487744603
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILLER
FirstName: FRANCES
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: A.P.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1531 KENSINGTON DR
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371305936
CountryCode: US
TelephoneNumber: 6158934480
FaxNumber: 6158677955
Practice Location
Address1: 1004 N HIGHLAND AVE
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371302454
CountryCode: US
TelephoneNumber: 6158934480
FaxNumber: 6158677955
Other Information
ProviderEnumerationDate: 10/16/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPN0000006525TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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