Provider Demographics
NPI:1619298551
Name:MILLS, RACHEL J (NP)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:J
Last Name:MILLS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:4529 JESSUP GROVE RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-9407
Mailing Address - Country:US
Mailing Address - Phone:336-605-0190
Mailing Address - Fax:336-605-0930
Practice Address - Street 1:4529 JESSUP GROVE RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-9407
Practice Address - Country:US
Practice Address - Phone:336-605-0190
Practice Address - Fax:336-605-0930
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2016-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC300147364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics