Provider Demographics
NPI:1689979262
Name:MILLS, CHRISTIAN LANIER (ANP-C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIAN
Middle Name:LANIER
Last Name:MILLS
Suffix:
Gender:
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1764 LYMAN RD
Mailing Address - Street 2:
Mailing Address - City:CHINQUAPIN
Mailing Address - State:NC
Mailing Address - Zip Code:28521-8616
Mailing Address - Country:US
Mailing Address - Phone:910-296-4871
Mailing Address - Fax:
Practice Address - Street 1:2145 COUNTRY CLUB RD STE 500
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-2404
Practice Address - Country:US
Practice Address - Phone:910-353-0565
Practice Address - Fax:910-353-3940
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004982363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health