Jaclyn McMillan, BA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2153 E Joyce Blvd
Suite 201
Fayetteville, AR 72703-4714

Phone

(479) 575-9471

Fax

(479) 587-9392

NPI assigned

Apr 27, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1003174079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 JOYCE BLVD",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035285",
            "telephone_number": "479-575-9471",
            "fax_number": "479-587-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 E JOYCE BLVD",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034714",
            "telephone_number": "479-575-9471",
            "fax_number": "479-587-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "JACLYN",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Estelle McLarty
• Benjamin McLinn
• Amy Brown McMahan, MACCCSLP
• Andrea Elizabeth McMahon, MD
• Pamela A McMichael, MD
• Raven McMillion
• Kaitlin Renae McMurrian, MED, BCBA
• Patti McNair, MHPP
• William McNair, MD
• Colin Ryan McNay

• All providers in Fayetteville, AR
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.