# JEREMY M. MILLS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134462864
- **Gender:** Man
- **Credential:** PMHNP-BC, MSN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | RN0000177236 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APN0000017491 | TN | Yes |

## Other

- **Enumeration date:** 04/01/2013
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | Q001105 | — | TN |