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

Mrs. Jacqueline McMillian

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1477676500

Mrs. Jacqueline McMillian is registered under Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
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Practice location Address checks out

5302 Slater Ave
Fayetteville, NC 28301 Not confirmed with CMS for 19 years — call before visiting
Phone: (910) 488-6130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 7805049 (NC)

Record details

NPI number1477676500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 6, 2007
Last updated in NPPESJuly 8, 2007

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