Individual
JESSICA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-313408
SC
235Z00000X
Speech-Language Pathologist
14307692
SC
Other
Enumeration date
08/10/2023
Last updated
02/05/2026
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