SALLY MILLER (NPI# 1891173688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891173688 |
| Entity Type | Individual |
| Full Name | SALLY MILLER |
| Practice Address |
1325 San Marco Blvd Jacksonville FL 32207-8568 |
| Practice Telephone | 9042536910 |
| Mailing Telephone | 9044850470 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
9270953 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019650800 | 05 | |
| GA | 003184671A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851808364 | Sally Barbara Miller | Social Worker | 50 Cabot Street Suite 206, Plan of Massachusetts and Rhode Island, Needham, MA 02494 | 2018-01-05 |
| 1013468479 | Sally Ann Miller | Specialist/Technologist | 1921 W 24th Avenue, Apt 6a, Emporia, KS 66801-9400 | 2016-10-20 |
| 1952702193 | Sally Eisen Miller | Marriage & Family Therapist | 5909 West Loop S. #590, Bellaire, TX 77401 | 2014-09-08 |
| 1023391190 | Sally Jo Miller | Pharmacist | 1793 E Avenida De Las Flores, Thousand Oaks, CA 91362-1522 | 2011-09-23 |
| 1164742169 | Sally Jo Miller | Massage Therapist | 1345 Us Highway 1, Rockledge, FL 32955-2855 | 2010-06-02 |
| 1679768055 | Sally Lott Miller | Marriage & Family Therapist | 45 Fairlawn St, West Hartford, CT 06119-1723 | 2007-09-10 |
| 1952520686 | Sally Kim Miller | Student in an Organized Health Care Education/Training Program | 8052 Caminito Mallorca, La Jolla, CA 92037-2914 | 2007-04-24 |
| 1730229451 | Sally Crichton Miller | Massage Therapist | 417 University St, Trinidad, CO 81082-2553 | 2007-02-08 |
| 1801985296 | Sally Kathleen Miller | Nurse Practitioner | 6759 W Charleston Blvd, Las Vegas, NV 89146-2002 | 2006-10-12 |
| 1285618264 | Sally S Miller | Optometrist | 2616 Lawndale Dr, Suite A, Greensboro, NC 27408-4800 | 2005-12-02 |
| Street Address |
1325 SAN MARCO BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183500 | Philip R. Hardy | Orthopaedic Surgery | 1325 San Marco Blvd, Ste 200, Jacksonville, FL 32207-8566 | 2005-06-09 |
| 1730794496 | Rachel Keene | Specialist/Technologist | 1325 San Marco Blvd, Jacksonville, FL 32207-8568 | 2020-09-10 |
| 1396201638 | Neutt Dellareeda King | Nurse Practitioner | 1325 San Marco Blvd, Jacksonville, FL 32207-8568 | 2019-02-12 |
| 1396282836 | Peter Christopher Mcdermott | Nurse Practitioner | 1325 San Marco Blvd, 300, Jacksonville, FL 32207-8568 | 2017-01-23 |
| 1215472014 | Lindsay Moore | Nurse Practitioner | 1325 San Marco Blvd, Reid Building Ste 300, Jacksonville, FL 32207-8568 | 2017-01-03 |
| 1659828994 | Aimee Roberts-serrato | Nurse Practitioner | 1325 San Marco Blvd, Suite 200, Jacksonville, FL 32207-8568 | 2016-09-03 |
| 1265985030 | Laran Phelps | Massage Therapist | 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 | 2016-07-28 |
| 1497108310 | Kelly Jackson | Massage Therapist | 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 | 2016-07-15 |
| 1376902221 | Joshua Jackson | Nurse Practitioner | 1325 San Marco Blvd, Reid Bldg., Suite 300, Jacksonville, FL 32207-8568 | 2016-02-21 |
| 1063889814 | Emily Lisa Rea | Nurse Practitioner | 1325 San Marco Blvd, Reid Building Suite 300, Jacksonville, FL 32207-8568 | 2015-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
| 1265917124 | Sandra Jayussi | Nurse Practitioner | 7406 Fullerton Ave, Jacksonville, FL 32256 | 2018-09-26 |
| 1427563980 | William Phillips | Nurse Practitioner | 1325 San Marco Blvd Bldg Suite300, Jacksonville, FL 32207-8568 | 2017-12-06 |
| 1366977902 | Annette Faulkner Wall | Nurse Practitioner | 14601 Swansea Ct, Jacksonville, FL 32258-4446 | 2017-04-20 |
| 1730457565 | Tressie Brooks | Nurse Practitioner | 4203 Belfort Rd Ste 108, Jacksonville, FL 32216-1411 | 2011-12-07 |
| 1346563129 | Brooke Leigh Mcduffie | Nurse Practitioner | 3115 Spring Glen Rd, Suite 505, Jacksonville, FL 32207-5978 | 2010-03-08 |
| 1558536490 | Jacquelyn Danette Cannon | Nurse Practitioner | 1200 Riverplace Blvd 620, Jacksonville, FL 32207-1803 | 2008-04-22 |
| 1003969627 | Mike J Primeaux | Nurse Practitioner | 10601 San Jose Blvd Ste 208, Jacksonville, FL 32257-8203 | 2007-01-18 |
| 1700819372 | Paula F New | Nurse Practitioner | 3221 Henderson Dr, Jacksonville, NC 28546-5251 | 2006-07-08 |
| 1114972841 | Roxanna A Mcdonald | Nurse Practitioner | 1947 Morningside St, Jacksonville, FL 32205-9390 | 2006-05-23 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on SALLY MILLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.