Provider Demographics
NPI:1275404709
Name:MILLS, DONNA (RN CASE MANAGER)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:RN CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9357 PORTAGE DR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8380
Mailing Address - Country:US
Mailing Address - Phone:704-727-6233
Mailing Address - Fax:
Practice Address - Street 1:9357 PORTAGE DR UNIT 106
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8381
Practice Address - Country:US
Practice Address - Phone:704-727-6233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC241578163W00000X
NJ00145329163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse