Healthcare Provider Details

I. General information

NPI: 1801709597
Provider Name (Legal Business Name): EBERE-CHI MILLER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 W GARTON ROAD
OZARK MO
65721-7231
US

IV. Provider business mailing address

13307 LAWRENCE 1080
STOTTS CITY MO
65756-9190
US

V. Phone/Fax

Practice location:
  • Phone: 417-551-9669
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026030461
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: