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NPI Code Detail

MEDICARE: MRS. CHRISTIAN LANIER MILLS ANP-C

MEDICARE: MRS. CHRISTIAN LANIER MILLS ANP-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
1363LA2200XAdult Health Nurse Practitioner5004982NC

General Provider Information

NPI Number : 1689979262
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTIAN LANIER MILLS ANP-C
Provider Business Mailing Address
First Line : 1764 LYMAN RD
Second Line :
City : CHINQUAPIN
State : NC
Zip : 28521-8616
Country : US
Telephone Number : 910-296-4871
Fax Number :
Provider Business Practice Location Address
First Line : 2145 COUNTRY CLUB RD STE 500
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-2404
Country : US
Telephone Number : 910-353-0565
Fax Number : 910-353-3940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2011
Last Update Date : 02/25/2025

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