MEDICARE: EMILEE MILLER FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	27203	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306478029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILEE MILLER FNP-C

Provider Business Mailing Address
First Line	:	906 TUSCULUM BLVD STE 1
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37745-4066
Country	:	US
Telephone Number	:	423-922-9224
Fax Number	:	423-525-5708

Provider Business Practice Location Address
First Line	:	3225 E ANDREW JOHNSON HWY
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37745-0965
Country	:	US
Telephone Number	:	423-922-9224
Fax Number	:	423-525-5708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2020
Last Update Date	:	05/01/2026

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