Provider Demographics
NPI:1053165795
Name:MILLS, JAMAYA CHARDAE
Entity type:Individual
Prefix:
First Name:JAMAYA
Middle Name:CHARDAE
Last Name:MILLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4709 SHRADER CT APT A
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2510
Mailing Address - Country:US
Mailing Address - Phone:804-496-8224
Mailing Address - Fax:
Practice Address - Street 1:4709 SHRADER CT APT A
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-2510
Practice Address - Country:US
Practice Address - Phone:804-496-8224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator