MEDICARE: DANA MILLING GERMANY NP-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
1	363LF0000X	Family Nurse Practitioner	R869539	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265795678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA MILLING GERMANY NP-C

Provider Business Mailing Address
First Line	:	2510 LAKELAND DR
Second Line	:
City	:	FLOWOOD
State	:	MS
Zip	:	39232-9513
Country	:	US
Telephone Number	:	601-355-1234
Fax Number	:	601-352-4882

Provider Business Practice Location Address
First Line	:	101 W WASHINGTON ST STE C1
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-2434
Country	:	US
Telephone Number	:	601-856-2383
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2012
Last Update Date	:	02/27/2020

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