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NPI Code Detail

MEDICARE: MS. NEDRA JOLYN MILLER A-APRN

MEDICARE: MS. NEDRA JOLYN MILLER A-APRN
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
1363LF0000XFamily Nurse PractitionerAPRN2750622FL
2207QA0401XAddiction Medicine (Family Medicine) PhysicianAPRN2750622FL
3367A00000XAdvanced Practice MidwifeAPRN2750622FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y1129OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366425100
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NEDRA JOLYN MILLER A-APRN
Provider Business Mailing Address
First Line : 5341 GRAND BLVD STE 105
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-4004
Country : US
Telephone Number : 727-478-0648
Fax Number : 727-478-0618
Provider Business Practice Location Address
First Line : 111 N ORANGE AVE STE 800
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2381
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2005
Last Update Date : 10/24/2025

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