Provider Demographics
NPI:1508285859
Name:TERRILL, MILISSA (APRN)
Entity Type:Individual
Prefix:
First Name:MILISSA
Middle Name:
Last Name:TERRILL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:812-537-5772
Mailing Address - Fax:812-537-3936
Practice Address - Street 1:368 BIELBY RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-1099
Practice Address - Country:US
Practice Address - Phone:812-537-5772
Practice Address - Fax:812-537-3936
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28170315A163W00000X
OH401600163W00000X
KY1144681163W00000X
KY3015398363LP2300X
IN71012175A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care