Healthcare Provider Details

I. General information

NPI: 1922928860
Provider Name (Legal Business Name): JILL MARIE MILLARD MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 S LAPEER RD
OXFORD MI
48371-6108
US

IV. Provider business mailing address

2300 SULLIVAN RD
OXFORD MI
48371-3439
US

V. Phone/Fax

Practice location:
  • Phone: 248-969-9932
  • Fax:
Mailing address:
  • Phone: 616-450-5822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: