NPI Code Details Logo

NPI 1366270308

NPI 1366270308 : ALISON MARIE MILLER APRN : JACKSONVILLE, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1366270308
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALISON MARIE MILLER APRN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/22/2024
-----------------------------------------------------
    Last Update Date     |    11/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4500 SAN PABLO RD S 
-----------------------------------------------------
    City                 |    JACKSONVILLE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32224-1865
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    904-953-2000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 100108 
-----------------------------------------------------
    City                 |    GAINESVILLE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32610-0108
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    352-265-0535
-----------------------------------------------------
    Fax                  |    352-627-4173
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LA2100X
-----------------------------------------------------
    Taxonomy Name        |    Acute Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    APRN11035175
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    APRN11035175
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.