Karen Louise Miller, RN, CPNP

Individual provider Active NPI Pediatric Nurse Practitioner · Choctaw, MS

NPI 1194280883 · NPPES record last updated Feb 6, 2019

Key facts

NPI
1194280883
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
901989 (MS)
Practice address
210 Hospital Cir
Choctaw, MS 39350-6781
Phone
(601) 389-4315
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 901989 MS Yes

Addresses

Primary practice location

210 Hospital Cir
Choctaw, MS 39350-6781

Mailing address

210 Hospital Cir
Choctaw, MS 39350-6781

Other providers in Choctaw, MS

All providers in Choctaw, MS · Pediatric Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.