Mills, Rennie

Mills, Rennie is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mills, Rennie can be contacted via phone (601) 984-4540.

Contact Information

Primary practice address
2500 North State Street Jackson MS 39216-4500
Fax: (601) 984-4548
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TPA0028 Mississippi

Profile Details

NPI number 1942307400
LBN Legal business name Mills, Rennie
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Feb 25th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942307400 NPPES
Mississippi MEDICAID 01383764
Mississippi MEDICAID 291934600

Popular Providers