| Doctor Name: | JONI YVETTE MILLS |
| NPI Number: | 1699142117 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | AC001586 |
| Business Practice Address: | 8824 Cunningham Dr Suite D Berwyn Heights, MD - 207402338 |
| Business Phone Number: | 2409650800 |
| Business Fax Number: | 2402900037 |
| Mailing Address: | 11350 Mccormick Rd, Executive Plaza I, Suite 501 HUNT VALLEY |
| State: | MD |
| Postal Code: | 210311002 |
| Phone Number: | 2409650800 |
| Fax Number: | 2402900032 |
| NPI Enumeration Date: | 09/01/2015 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AC001586 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |