Jessica Nicole Anderson
Lactation Consultant, Non-RN in Preston, CT. Individual provider (NPI-1).
NPI number1710596366
StatusActive
Last updated in NPPESJul 29, 2020
Details
- NPI
- 1710596366
- Entity type
- Individual (NPI-1)
- Name
- Jessica Nicole Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2020
- Certification date
- Jul 29, 2020
- Last updated
- Jul 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | – | – | Yes |
Practice location
29 Middle RdPreston, CT 06365-8207
Phone 443-262-5898
Mailing address
29 Middle RdPreston, CT 06365-8207
Phone 443-262-5898
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