Provider Demographics
NPI:1144009275
Name:MILLS, KASEY LEANN (MSN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KASEY
Middle Name:LEANN
Last Name:MILLS
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7449 STATE ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:DUNLAP
Mailing Address - State:TN
Mailing Address - Zip Code:37327-3564
Mailing Address - Country:US
Mailing Address - Phone:423-443-3262
Mailing Address - Fax:
Practice Address - Street 1:7449 STATE ROUTE 28
Practice Address - Street 2:
Practice Address - City:DUNLAP
Practice Address - State:TN
Practice Address - Zip Code:37327-3564
Practice Address - Country:US
Practice Address - Phone:423-443-3262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34163363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily