Provider Demographics
NPI:1437886199
Name:MCMILLIAN, TORIE LAVERNE (MSN,APRN,A-GNP-C)
Entity type:Individual
Prefix:MRS
First Name:TORIE
Middle Name:LAVERNE
Last Name:MCMILLIAN
Suffix:
Gender:F
Credentials:MSN,APRN,A-GNP-C
Other - Prefix:
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Mailing Address - Street 1:32086 JODECO RD STE 1398
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252
Mailing Address - Country:US
Mailing Address - Phone:770-501-6977
Mailing Address - Fax:770-268-6648
Practice Address - Street 1:2086 JODECO RD STE 1398
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-5220
Practice Address - Country:US
Practice Address - Phone:770-501-6977
Practice Address - Fax:770-268-6648
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-03
Last Update Date:2025-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN208119363LG0600X, 363LP2300X, 363LA2200X, 363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health