Individual
JONATHAN R MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
102 WILSON CT, CHARLOTTESVILLE, VA 22901-2942
(434) 214-0723
(434) 204-4315
Mailing address
102 WILSON CT, CHARLOTTESVILLE, VA 22901-2942
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024172966
VA
Other
Enumeration date
03/19/2015
Last updated
01/07/2025
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