Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raven Larose Miller

Individual provider Family Nurse Practitioner · NPI 1174109730

Raven Larose Miller is a Family Nurse Practitioner in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2021.

Licensed in
TN
In the registry since
2021

Practice location Address checks out

19 Hatchmor Dr
Jackson, TN 38305-7210
Phone: (731) 217-1237
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 29043 (TN)

Record details

NPI number1174109730
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021

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