Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Jean Mills

Individual provider Physician Assistant · NPI 1568003879

Shannon Jean Mills is a Physician Assistant in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8312
Fax: (516) 663-6926
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024197 (NY)

Record details

NPI number1568003879
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 8, 2019
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022

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