Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELINE MCMILLIAN
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · FAYETTEVILLE, NC
Registration Details
- NPI Number
- 1477676500
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2007 (19.042964590018 yrs)
- Last Updated
- Jul 8, 2007
- License
-
7805049 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5302 SLATER AVE.FAYETTEVILLE, NC, 28301Browse NC providers · Browse ZIP 28301
- Phone
- 9104886130
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Other Intellectual Disabilities Residential Treatment Facility Providers in FAYETTEVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| CYSHELLE WILLIAMS | QPBS | 1518274695 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.