Active NPI
Hollie Jenkins
- Lactation Consultant (Non-RN)
- Jacksonville, FL
National Provider Identifier
1144043407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-19034
- Practice address
- 10849 Normandy Blvd
Jacksonville, FL 32221-1926 - Phone
- (904) 614-8364
- NPI assigned
- Nov 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-19034 | FL | Primary |
Addresses
Primary practice location
10849 Normandy Blvd
Jacksonville, FL 32221-1926
Mailing address
10849 Normandy Blvd
Jacksonville, FL 32221-1926
Phone (904) 614-8364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-19034 | FL | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1144043407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10849 NORMANDY BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322211926",
"telephone_number": "904-614-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10849 NORMANDY BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322211926",
"telephone_number": "904-614-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "HOLLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": "FL",
"license": "L-19034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.