Mills, Jerakhine N
Mills, Jerakhine N is an sole proprietor health care provider with primary practice located at 1810 Mulkey Rd Ste 105 , Austell GA 30106-1132. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mills, Jerakhine N can be contacted via phone (678) 540-7597.Contact Information
Primary practice address
1810 Mulkey Rd Ste 105
Austell GA 30106-1132
Phone: (678) 540-7597
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | RN235396 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | RN235396 | Georgia |
Profile Details
| NPI number | 1780181834 |
|---|---|
| LBN Legal business name | Mills, Jerakhine N |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2018 |
| Last updated | May 22nd, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780181834 | NPPES |
| Georgia | Other | RN235396 | RN LICENSE |
| Georgia | Other | RN235396 | RN LICENSE |
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