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

Raven Miller

Individual provider Family Nurse Practitioner · NPI 1578190443

Raven Miller is a Nurse Practitioner in Petal, Mississippi. Qualified in 2018, 8 years ago. Practices with David B Roy DO PA, a 10-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2020
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Practice location Address checks out

201 S Main St
Petal, MS 39465-2362
Phone: (602) 336-5626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903280 (MS)

Record details

NPI number1578190443
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESMarch 23, 2020
Certification dateMarch 23, 2020
Mailing address23 Forrest Rdg, Petal, MS 39465-5937

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice David B Roy Do Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Petal