| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARY JANE MILLS | 1710463708 | 2022-10-01 |
Mary J Mills [F] graduated in 2018 and primarily specializes in Physician Assistant.
Mary Jane Mills is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710463708. Registration indicates Mary Jane Mills is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 2466704952 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mary Jane Mills PA-C |
| Practice Office Address | 1221 PLEASANT ST STE 100 DES MOINES, IA US |
| Practice Office Telephone | 5152822921 |
| Mailing Address | 1221 PLEASANT ST STE 100 DES MOINES, IA 503091424 US |
| Business Telephone | 5152822921 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1410 SW Tradition Dr Ste 110 | Ankeny, IA 500239188 | 5158759696 / 5158759697 |
| 1344 Park Ave | Des Moines, IA 503157574 | 5152990493 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |