Provider Demographics
NPI:1174075113
Name:MILLS, NICOLE LEIGH (DNP, FNP-C, APRN)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:LEIGH
Last Name:MILLS
Suffix:
Gender:F
Credentials:DNP, FNP-C, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-2043
Mailing Address - Country:US
Mailing Address - Phone:860-794-9037
Mailing Address - Fax:
Practice Address - Street 1:311 9TH ST N STE 110
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5886
Practice Address - Country:US
Practice Address - Phone:239-624-4286
Practice Address - Fax:239-624-4241
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT089728163W00000X
RIAPRN03284363L00000X
CT6821363LF0000X
FLAPRN11039138363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner