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Individual

JERAKHINE N MILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1810 MULKEY RD STE 105, AUSTELL, GA 30106-1132
(678) 540-7597
Mailing address
5160 D E PONCE DELEON AVE, STONE MOUNTAIN, GA 30083
(954) 305-4838

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN235396
GA
363LF0000X
Family Nurse Practitioner
APRN-NP235396
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN235396
RN LICENSE
GA
Enumeration date
04/06/2018
Last updated
11/12/2025
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