Provider Demographics
NPI:1508006396
Name:MILLS, MICHELLE GRANT (DNP, RN, NP-C)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:GRANT
Last Name:MILLS
Suffix:
Gender:F
Credentials:DNP, RN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 TUNNEL RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2576
Mailing Address - Country:US
Mailing Address - Phone:828-431-5600
Mailing Address - Fax:828-431-5632
Practice Address - Street 1:2440 CENTURY PL SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4031
Practice Address - Country:US
Practice Address - Phone:828-431-5600
Practice Address - Fax:828-431-5632
Is Sole Proprietor?:No
Enumeration Date:2009-03-06
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004334363LA2200X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1508006396Medicaid
NC7004864Medicaid
NC2594514BMedicare Oscar/Certification