Jacquelyn Ann Ordner, RN, IBCLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Sigel, IL
NPI 1003328634 · NPPES record last updated Nov 5, 2017
Key facts
- NPI
- 1003328634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- 041.377032 (IL)
- Practice address
- 175 County Road 400 E
Sigel, IL 62462-2134 - Phone
- (217) 821-1040
- NPI assigned
- Nov 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.377032 | IL | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milk Guide Lactation LLC | Lactation Consultant | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 041.377032 | IL | Yes |
Addresses
Primary practice location
175 County Road 400 E
Sigel, IL 62462-2134
Mailing address
175 County Road 400 E
Sigel, IL 62462-2134
Phone (217) 821-1040
Other providers in Sigel, IL
All providers in Sigel, IL · Lactation Consultant (Registered Nurse) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.