Suzanne Nunnally, BSN, RN, IBCLC, RLC
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Pendergrass, GA
NPI 1336863232 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1336863232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- L-33226 (GA)
- Practice address
- 84 Kinney Creek LN
Pendergrass, GA 30567-2281 - Phone
- (678) 617-0640
- NPI assigned
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-33226 | GA | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-33226 | GA | Yes |
Addresses
Primary practice location
84 Kinney Creek LN
Pendergrass, GA 30567-2281
Mailing address
84 Kinney Creek LN
Pendergrass, GA 30567-2281
Other providers in Pendergrass, GA
- Amber Marie Hood
- Trina Nobles McMillan
- MH Health Care Services, PC
- Laika Mirtil
- Sarah Nichols
- Ogles Oxygen, LLC
- P.I.E. Medical LLC
- Krista Richardson
- Stephanie St. Hilaire- Felix
All providers in Pendergrass, GA · Lactation Consultant (Registered Nurse) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. 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.