Provider Demographics
NPI:1265319123
Name:MILLER, ADARIA RASHAWN (RN)
Entity type:Individual
Prefix:
First Name:ADARIA
Middle Name:RASHAWN
Last Name:MILLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6157 ROSS RD N
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-7747
Mailing Address - Country:US
Mailing Address - Phone:901-282-9945
Mailing Address - Fax:
Practice Address - Street 1:400 MAHANNAH AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38107-1021
Practice Address - Country:US
Practice Address - Phone:901-503-3120
Practice Address - Fax:901-612-3411
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902759163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse