Individual
JENNIFER L MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5111 N GLEN PARK PLACE RD, PEORIA, IL 61614-4675
(309) 683-5700
(309) 683-5752
Mailing address
5111 N GLEN PARK PLACE RD, PEORIA, IL 61614-4675
(309) 683-5700
(309) 683-5752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-013940
IL
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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