Provider Demographics
NPI:1366166175
Name:MILLS, REBECCA JUNE (F-NP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JUNE
Last Name:MILLS
Suffix:
Gender:F
Credentials:F-NP
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:JUNE
Other - Last Name:DILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 LAUREL OAK RD STE B
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4453
Mailing Address - Country:US
Mailing Address - Phone:565-134-1248
Mailing Address - Fax:
Practice Address - Street 1:435 HURFFVILLE - CROSS KEYS ROAD
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080
Practice Address - Country:US
Practice Address - Phone:856-582-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01307600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily