Provider Demographics
NPI:1114803376
Name:MCMILLIN, BRIANNA LAVONNE
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:LAVONNE
Last Name:MCMILLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 LITTLE ELM PKWY STE 1803
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-2503
Mailing Address - Country:US
Mailing Address - Phone:972-433-3441
Mailing Address - Fax:
Practice Address - Street 1:2601 LITTLE ELM PKWY STE 1803
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-2503
Practice Address - Country:US
Practice Address - Phone:972-433-3441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker