Provider Demographics
NPI:1528753407
Name:MILLER, SCARLETT JOSIE
Entity type:Individual
Prefix:
First Name:SCARLETT
Middle Name:JOSIE
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 BATES ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38606-2335
Mailing Address - Country:US
Mailing Address - Phone:662-934-6054
Mailing Address - Fax:
Practice Address - Street 1:120 RANDY HENDRIX DR
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:MS
Practice Address - Zip Code:38606-7664
Practice Address - Country:US
Practice Address - Phone:662-563-9176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS689602163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult