Provider Demographics
NPI:1144851502
Name:MILLS, ALLISON FAYE (DNP, NP-C)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:FAYE
Last Name:MILLS
Suffix:
Gender:F
Credentials:DNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1128 COTTONTOWN MANOR DR APT 204
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-2541
Mailing Address - Country:US
Mailing Address - Phone:434-248-7074
Mailing Address - Fax:
Practice Address - Street 1:2221 NORTH BLVD W
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-8990
Practice Address - Country:US
Practice Address - Phone:863-421-7600
Practice Address - Fax:863-421-7551
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017146763363LF0000X, 208600000X
FLAPRN11021997367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife