JESSICA CLARK MILLS (NPI# 1205355765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205355765 |
| Entity Type | Individual |
| Full Name | JESSICA CLARK MILLS |
| Credential | FNP |
| Practice Address |
14724 Highway 15 N Louisville MS 39339-6318 |
| Mailing Address |
2417 Mcneil Rd Louisville MS 39339-7505 |
| Practice Telephone | 6627737500 |
| Practice Fax Number | 6624461006 |
| Mailing Telephone | 6628033688 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
902312 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8613 Ms Highway 12, Ackerman, MS 397358917 | 6622854400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687411 | Jessica Michelle Mills | Physical Therapist | 3540 Cobb Pkwy Nw Ste 300, Acworth, GA 30101-4179 | 2019-09-10 |
| 1225222706 | Jessica Mills | Counselor | 6316 San Juan Ave Ste 41, Jacksonville, FL 32210-2883 | 2007-08-28 |
| 1235611419 | Jessica Napoli Mills | Physician Assistant | 2755 S Highway 14 Ste 1200l, Greer, SC 29650-4902 | 2018-09-04 |
| 1942737309 | Jessica Mills | Case Manager/Care Coordinator | 422 Colonial Dr, Baton Rouge, LA 70806 | 2017-05-16 |
| 1255785010 | Jessica Mills | Social Worker | 1380 Route 9w, Marlboro, NY 12542-5403 | 2016-04-19 |
| 1952789414 | Jessica Lynne Mills | Advanced Practice Midwife | 4 Prospect St, Milford, NH 03055-3724 | 2015-05-15 |
| 1659623288 | Jessica Louise Alexandra Mills | Surgery | 47 New Scotland Ave, Mail Code 191, Albany, NY 12208-3412 | 2012-10-05 |
| 1093013286 | Jessica M Mills | Physical Therapist | 101 Cambridge St, C/o Orthopaedics Plus, Burlington, MA 01803-3766 | 2011-03-11 |
| 1023249877 | Jessica M Mills | Registered Nurse | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2009-07-28 |
| 1811137193 | Jessica Mills | Emergency Medicine | 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 | 2009-02-26 |
| Street Address |
14724 HIGHWAY 15 N |
| City | LOUISVILLE |
| State | MS |
| Zip Code | 39339-6318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114912680 | James Glenn Peters | Family Medicine | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2005-09-12 |
| 1851905137 | Shelby Reeves | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2020-09-03 |
| 1972085850 | Brianna Deweese Lundy | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2018-09-06 |
| 1598263709 | Casey Devaughn Fleming | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2018-01-23 |
| 1538555347 | Choctaw Regional Medical Center | Family Medicine | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2015-04-08 |
| 1851781611 | Pamela Metts | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2015-02-02 |
| 1346337920 | Cynthia Harrington | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2006-10-06 |
| 1184675134 | Jan Sullivan Randle | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2006-05-15 |
| 1598716573 | Valerie O'briant Sullivan | Nurse Practitioner | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2006-05-13 |
| 1497705453 | Samuel Keith Suttle | Family Medicine | 14724 Highway 15 N, Louisville, MS 39339-6318 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149573 | Thomas Cefalu | Pharmacist | 16575 E Main St, Louisville, MS 39339 | 2019-11-19 |
| 1720506371 | Jennifer Marie Burns | Physical Therapist | 110 N Walmart Drive Suite F, Louisville, MS 39339 | 2017-09-05 |
| 1326409335 | Courtney Nicole Shaw | Speech-Language Pathologist | 316 Rocky Hill Road, Louisville, MS 39339 | 2016-03-18 |
| 1033598503 | Winston Medical Clinic LLC | Clinic/Center | 16569 W Main St, Louisville, MS 39339 | 2015-05-29 |
| 1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
| 1356587208 | Louisville Healthcare LLC | Skilled Nursing Facility | 543 East Main Street, Louisville, MS 39339 | 2008-12-24 |
| 1699935908 | Stephen Eugene Hunter | Emergency Medicine | 100 Ellie Smith Rd, Louisville, MS 39339 | 2008-06-10 |
| 1669566279 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 17220 E Main St Ste C, Louisville, MS 39339 | 2006-10-03 |
| 1184737017 | Louisville Eye Care | Optometrist | 500 North Church, Louisville, MS 39339 | 2006-08-16 |
| 1679583249 | Raymond John Orgler | Surgery | 547 E. Main St, Louisville, MS 39339 | 2006-08-08 |
| Find all providers in zip 39339 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 39339 |
Please comment or provide details below to improve the information on JESSICA CLARK MILLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.