Individual
JESSICA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
870 WALT MILLER ST STE 200, MOUNT PLEASANT, SC 29464-2969
(843) 509-2851
Mailing address
356 LANTANA DR, CHARLESTON, SC 29407-6925
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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