NPI 1174223358

Jessica Brunot Bouldin, CLCCD

Practitioner Lactation Consultant (Non-RN) Winchester, VA

Practice location

Address: 102 Apache Trail, Winchester, VA 22602-1300
Phone: (540) 222-8700

Registered specialties (2)

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence 351584 (VA)

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Doula

Nursing Service Related Providers Taxonomy 374J00000X

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Registry record

NPI: 1174223358
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2023
Record last updated: 20 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.