RAVEN LAROSE MILLER
NPI 1174109730
Nurse Practitioner - Family in Jackson, TN

Q: What is Raven Miller's NPI number?

The NPI number for Raven Miller is 1174109730. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Q: What is Raven Miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Raven Miller was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2021

19 HATCHMOR DR, JACKSON, TN 38305(731) 217-1237 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Raven Larose Miller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN LAROSE MILLER (NPI 1174109730) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (29043) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1174109730

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRAVEN LAROSE MILLER

Location Address19 HATCHMOR DRJackson, TN 38305-7210

Mailing Address19 Hatchmor DrJackson, TN 38305-7210 · (731) 217-1237

Phone(731) 217-1237

Sole ProprietorNo

Enumeration DateMarch 23, 2021

NPPES CertifiedMarch 23, 2021

✔ NPI 1174109730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 29043

19 HATCHMOR DR, Jackson, TN 38305

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven Miller's NPI number?

The NPI number for Raven Miller is 1174109730. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Raven Miller located?

Raven Miller practices at 19 Hatchmor Dr, Jackson, TN 38305. The listed phone number is (731) 217-1237.

What is Raven Miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Raven Miller was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.