| Kiana Rachelle Miller, FNP-C | |
|
101 S Main St, Rogersville, MO 65742-9357 | |
| (417) 753-9404 | |
| (417) 753-9137 |
| Full Name | Kiana Rachelle Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 101 S Main St, Rogersville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669883849 | NPI | - | NPPES |
| 1669883849 | Medicaid | MO | |
| 2014000689 | Other | MO | MO LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2014000689 (Missouri) | Primary |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Kiana Rachelle Miller, FNP-C 101 S Main St, Rogersville, MO 65742-9357 Ph: (417) 753-9404 | Kiana Rachelle Miller, FNP-C 101 S Main St, Rogersville, MO 65742-9357 Ph: (417) 753-9404 |
Jessica N Rice, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 S Main St, Rogersville, MO 65742 Phone: 417-753-9404 Fax: 417-753-9137 | |
Jessica Burks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 S Main St, Rogersville, MO 65742 Phone: 417-753-9404 Fax: 417-753-9137 | |
Stephanie Rose Davison, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 S Main St, Rogersville, MO 65742 Phone: 417-753-9404 Fax: 417-753-9137 | |
Sofia Rodriguez Hoces, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 S Main St, Rogersville, MO 65742 Phone: 417-753-9404 Fax: 417-753-9137 | |
Melanie R. Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 199 Johnstown Dr, Rogersville, MO 65742 Phone: 417-753-7770 | |
Steven R Barnes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 S Main St, Rogersville, MO 65742 Phone: 417-753-9404 Fax: 417-753-9137 | |
Bonnie Lisa Stark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 S Main St, Rogersville, MO 65742 Phone: 417-753-9404 Fax: 417-753-9137 |