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Individual

ELYSE MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
411 E VAUGHN AVE STE 104, RUSTON, LA 71270-5975
(318) 254-2589
(318) 255-3343
Mailing address
411 E VAUGHN AVE STE 104, RUSTON, LA 71270-5975
(318) 254-2589
(318) 255-3343

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206504
LA

Other

Enumeration date
09/03/2019
Last updated
09/25/2024
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