Provider Demographics
NPI:1093483364
Name:MILLHAM-JONES, RACHAEL ALLISON (FNP-BC)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:ALLISON
Last Name:MILLHAM-JONES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 N NOLAN RIVER RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-1250
Mailing Address - Country:US
Mailing Address - Phone:817-566-9700
Mailing Address - Fax:817-566-9702
Practice Address - Street 1:895 N NOLAN RIVER RD STE 102
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-1250
Practice Address - Country:US
Practice Address - Phone:817-556-9700
Practice Address - Fax:817-556-9702
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP1052821363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily