IndividualActive
Antoinette Miller, NP
NPI 1053854729 · Nurse Practitioner · Marion, IL
Provider details
- NPI number
- 1053854729
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 209015920 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3331 W Deyoung St Ste 301
Marion, IL 62959-5898
Phone: (618) 998-7239
Fax: (618) 998-4365
Street-level locationGet directions
Mailing address
3331 W Deyoung St Ste 301
Marion, IL 62959-5898
Additional practice locations (2)
- 515 N Main St Ste CAnna, IL 62906-1668Phone: (618) 833-2872Fax: (618) 833-9433
- 900 N Washington StDu Quoin, IL 62832-1233Phone: (618) 542-1045Fax: (618) 542-4756
Registry dates
- Enumerated
- 2016-11-29
- Last updated
- 2025-06-05
- Certified
- 2025-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.