Nichole Gordon Miller, FNP-C
Nurse Practitioner, Family in Opelousas, LA. Individual provider (NPI-1).
NPI number1356806830
StatusActive
Last updated in NPPESJan 12, 2022
Details
- NPI
- 1356806830
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nichole Gordon Miller
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2019
- Certification date
- Jan 12, 2022
- Last updated
- Jan 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 203738 | LA | Yes |
Practice location
1200 Hospital Dr Ste 4Opelousas, LA 70570-6552
Phone 337-948-7090
Mailing address
1565 S Market StOpelousas, LA 70570-4813
Phone 337-351-8956
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