Individual
JENNIFER BREEN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
915 GORDON AVE, THOMASVILLE, GA 31792-6699
(229) 228-2000
Mailing address
915 GORDON AVE, THOMASVILLE, GA 31792-6699
(229) 228-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN179531
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58-222-8258
—
GA
Enumeration date
10/04/2018
Last updated
10/04/2018
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