Individual
MRS. JACQUELINE MILLER-SHILLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3865 HARBROOK ST SW, NAVARRE, OH 44662-9722
(330) 833-6622
Mailing address
3865 HARBROOK ST SW, NAVARRE, OH 44662-9722
(330) 833-6622
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN073291
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2480711
—
OH
Enumeration date
04/22/2008
Last updated
04/22/2008
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