Individual
SHELLY WEBER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
114 W LAFAYETTE ST, JEFFERSON, TX 75657-2206
(903) 930-0053
Mailing address
509 TANGIERS RD, JEFFERSON, TX 75657-4975
(559) 280-2442
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
616435
TX
163WL0100X
Lactation Consultant (Registered Nurse)
L-152515
WA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN60452040
WA
Other
Enumeration date
01/10/2019
Last updated
04/20/2026
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