Jacqueline McMillian
Speech-Language Pathologist, in Port Orange, FL. Individual provider (NPI-1).
NPI number1164062378
StatusActive
Last updated in NPPESJan 15, 2020
Details
- NPI
- 1164062378
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline McMillian
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2020
- Certification date
- Jan 15, 2020
- Last updated
- Jan 15, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 114464 | TX | Yes |
Practice location
5535 S Williamson Blvd Ste 774Port Orange, FL 32128-8321
Phone 888-265-2680
Mailing address
5806 Whitecastle LnSan Angelo, TX 76901-5034
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Speech-Language Pathologist providers in Port Orange, FL
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- Lisa AmundsonNPI 1548527161
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- Jessica Bauer, M.S.NPI 1639579766
- Megan BennettNPI 1346736386
- Tess BenzonNPI 1215326483
- Heather BergmanNPI 1407372873
All 101 Speech-Language Pathologist providers in Port Orange · All 1,907 providers in Port Orange
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