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NPI Code Detail

MEDICARE: LAUREN S MILLS FNP-C

MEDICARE: LAUREN S MILLS FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN246404GA
2363LF0000XFamily Nurse PractitionerRN246404GA

General Provider Information

NPI Number : 1205420650
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN S MILLS FNP-C
Provider Business Mailing Address
First Line : 219 DAVIS RD
Second Line :
City : GRAY
State : GA
Zip : 31032-3417
Country : US
Telephone Number : 678-675-9593
Fax Number :
Provider Business Practice Location Address
First Line : 231 W HANCOCK ST
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31061-3371
Country : US
Telephone Number : 678-675-9593
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2021
Last Update Date : 07/12/2022

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