Provider Demographics
NPI:1386200343
Name:MILLS, ASHLEI (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEI
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 CENTRE POINTE BLVD APT 159
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4896
Mailing Address - Country:US
Mailing Address - Phone:850-322-5324
Mailing Address - Fax:
Practice Address - Street 1:1900 CENTRE POINTE BLVD APT 159
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4896
Practice Address - Country:US
Practice Address - Phone:850-322-5324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5199383164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse