DAVID MICHAEL MCMILLEN (NPI# 1245698711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245698711 |
| Entity Type | Individual |
| Full Name | DAVID MICHAEL MCMILLEN |
| Credential | NP-C |
| Practice Address |
5482 Highway 15 N Ecru MS 38841-8471 |
| Practice Telephone | 6624888799 |
| Practice Fax Number | 6624888729 |
| Mailing Telephone | 6624888799 |
| Mailing Fax Number | 6624888729 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R858462 | MS | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R858462 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01187262 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447396155 | David Paul Mcmillen | Pharmacist | 14505 W Grand Ave, Surprise, AZ 85374-4358 | 2007-01-29 |
| 1275524936 | David H Mcmillen | Internal Medicine | 222 22nd Ave N, Nashville, TN 37203 | 2005-11-02 |
| Street Address |
5482 HIGHWAY 15 N |
| City | ECRU |
| State | MS |
| Zip Code | 38841-8471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253387 | Megan Springer Howell | Nurse Practitioner | 5482 Ms-15, Ecru, MS 38841 | 2018-04-26 |
| 1528405206 | Allymed, Inc | Nurse Practitioner | 7618 Highway 15 North, Ecru, MS 38841 | 2013-06-04 |
| 1124362470 | Friendship, LLC | Pharmacy | 5532 Hwy 15, Suite 1, Ecru, MS 38841 | 2012-11-26 |
| 1104199934 | Terry Wade Stubblefield | Pharmacist | 1065 County Road 228, Ecru, MS 38841 | 2012-02-09 |
| 1386877561 | Allison Miller Bailey | Nurse Practitioner | 7618 Hwy 15 North, Ecru, MS 38841 | 2009-09-03 |
| 1639720550 | Jennifer Chism Bolen | Nurse Practitioner | 5482 Ms-15, Ecru, MS 38841 | 2019-09-23 |
| 1477665107 | North Mississippi Medical Clinics Inc | Family Medicine | 202 Main Street, Ecru, MS 38841 | 2006-08-31 |
| 1922465392 | Elizabeth Norton | Physical Therapist | 5532 Highway 15 N Ste 4, Ecru, MS 38841-8481 | 2016-01-15 |
| 1255390472 | Crystal Lane Tate | Family Medicine | 375 Main St, Ecru, MS 38841-9118 | 2006-03-17 |
| 1275586273 | Friendship Medical Clinic, LLC | Nurse Practitioner | 5129 Highway 15 N, Ecru, MS 38841-9407 | 2006-05-19 |
| Find all providers in zip 38841 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450358 | Sara Leanne Davis | Nurse Practitioner | 230 Possum Ridge Rd, Hollandale, MS 38748-3755 | 2020-09-06 |
| 1598385130 | Christy Busby | Nurse Practitioner | 128 Warren St, Pontotoc, MS 38863-1519 | 2020-04-23 |
| 1104459742 | Amanda Paige Michael | Nurse Practitioner | 200 Quail Run, Booneville, MS 38829-9001 | 2020-02-21 |
| 1891328340 | U Matter LLC | Nurse Practitioner | 2440 N Hills St Ste 126, Meridian, MS 39305-2634 | 2020-02-12 |
| 1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
| 1447893888 | Spectrum The Other Clinic | Nurse Practitioner | 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 | 2019-10-17 |
| 1053962068 | Lauren Lanier Guthrie | Nurse Practitioner | 102 Friars Cv, Clinton, MS 39056-3411 | 2019-09-23 |
| 1588212229 | David Buckheister | Nurse Practitioner | 612 Liz Cir, Gulfport, MS 39503-3712 | 2019-08-27 |
| 1821583196 | Amanda Houston Trent | Nurse Practitioner | 4381 S Eason Blvd Ste 203, Tupelo, MS 38801-6557 | 2018-06-28 |
| 1093224446 | Jennifer Hurley | Nurse Practitioner | 2809n Denny Ave, Pascagoula, MS 39581-5301 | 2017-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.