Provider Demographics
NPI:1265636096
Name:MCMILLAN, TRINA NOBLES (APRN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:TRINA
Middle Name:NOBLES
Last Name:MCMILLAN
Suffix:
Gender:F
Credentials:APRN, FNP-C
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Mailing Address - Street 1:977 WAYNE POULTRY RD
Mailing Address - Street 2:
Mailing Address - City:PENDERGRASS
Mailing Address - State:GA
Mailing Address - Zip Code:30567-3915
Mailing Address - Country:US
Mailing Address - Phone:706-405-3799
Mailing Address - Fax:706-749-7954
Practice Address - Street 1:977 WAYNE POULTRY RD
Practice Address - Street 2:
Practice Address - City:PENDERGRASS
Practice Address - State:GA
Practice Address - Zip Code:30567-3915
Practice Address - Country:US
Practice Address - Phone:706-405-3799
Practice Address - Fax:706-749-7954
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2020-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN102265363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA50BBLNXMedicare PIN