Individual
CARON MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 212-2000
(806) 212-2222
Mailing address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 212-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP113828
TX
363LF0000X
Family Nurse Practitioner
AP113828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171784505
—
TX
01
—
8373NJ
BCBS
TX
Enumeration date
04/20/2006
Last updated
05/18/2023
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