Provider Demographics
NPI:1013687201
Name:MILLS, KARI LYN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:LYN
Last Name:MILLS
Suffix:
Gender:F
Credentials: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:PO BOX 1683
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-0029
Mailing Address - Country:US
Mailing Address - Phone:678-620-9242
Mailing Address - Fax:
Practice Address - Street 1:45 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-6297
Practice Address - Country:US
Practice Address - Phone:706-429-9914
Practice Address - Fax:706-429-9921
Is Sole Proprietor?:No
Enumeration Date:2021-09-17
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN258140363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily