person
Malissa Miller, NURSEPRACTITIONER
Family Nurse Practitioner in Columbia, Illinois
NPI 1285113217

Malissa Miller is a Family Nurse Practitioner based in Columbia, IL and is specialized in Family. Malissa Miller practices in Columbia, IL and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Malissa Miller is 1285113217 and holds a License No. 277002437 (Illinois).

The current practice location address for Malissa Miller is 107 N Main St Ste 2A, Columbia, IL and can be reached out via phone at 618-693-9313.

Location: 107 N Main St Ste 2A, Columbia, IL, 62236-1757
person
Provider Profile Details
NPI Number
1285113217
Provider Name
Malissa Miller
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
107 N Main St Ste 2A, Columbia, IL, 62236-1757
Phone Number
618-693-9313
Fax Number
Provider Enumeration Date
08/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
107 N Main St Ste 2A
City
State
Zip
62236-1757
Phone Number
618-693-9313
Fax Number
person
Provider Business Mailing Address Details
Address
107 N Main St Ste 2A
City
State
Zip
62236-1757
Phone Number
618-693-9313
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
277002437 (Illinois)
Definition
Definition to come...
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