Individual
DR. SHELLEY A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
5480 GOODMAN RD STE 1, OLIVE BRANCH, MS 38654-7902
(662) 893-9800
(662) 893-9827
Mailing address
P O BOX 1000 DEPT 38, MEMPHIS, TN 38148-0001
(662) 893-9800
(662) 893-9827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
138762
TN
363LF0000X
Family Nurse Practitioner
21554
TN
363LF0000X
Family Nurse Practitioner
Primary
901643
MS
Other
Enumeration date
06/08/2016
Last updated
07/21/2022
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