Provider Demographics
NPI:1619375532
Name:MILLER, BRITTANY NICOLE (APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:NICOLE
Last Name:MILLER
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:NICOLE
Other - Last Name:BEARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:415 N EWING ST
Mailing Address - Street 2:
Mailing Address - City:TALLULA
Mailing Address - State:IL
Mailing Address - Zip Code:62688-9764
Mailing Address - Country:US
Mailing Address - Phone:217-691-3189
Mailing Address - Fax:
Practice Address - Street 1:1300 E LOCUST ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:IL
Practice Address - Zip Code:61520-0008
Practice Address - Country:US
Practice Address - Phone:309-647-7030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-09
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.011454363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily