Healthcare Provider Details

I. General information

NPI: 1366425100
Provider Name (Legal Business Name): NEDRA JOLYN MILLER A-APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NEDRA JOLYN MILLER A-APRN, FNP, CNM

II. Dates (important events)

Enumeration Date: 11/25/2005
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N ORANGE AVE STE 800
ORLANDO FL
32801-2381
US

IV. Provider business mailing address

5341 GRAND BLVD STE 105
NEW PORT RICHEY FL
34652-4004
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax:
Mailing address:
  • Phone: 727-478-0648
  • Fax: 727-478-0618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN2750622
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberAPRN2750622
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN2750622
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: