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NPI Code Detail

MEDICARE: JENNIFER KAYE MILLS PMHNP

MEDICARE: JENNIFER KAYE MILLS PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner332068AZ

General Provider Information

NPI Number : 1578424511
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER KAYE MILLS PMHNP
Provider Business Mailing Address
First Line : PO BOX 5210
Second Line :
City : GRAND FORKS
State : ND
Zip : 58206-5210
Country : US
Telephone Number : 701-205-3000
Fax Number : 701-732-2501
Provider Business Practice Location Address
First Line : 3674 S WASHINGTON ST
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-5766
Country : US
Telephone Number : 701-205-3000
Fax Number : 701-732-2501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2025
Last Update Date : 02/16/2026

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