Jessica Danielle Austin, IBCLC

Individual provider Active NPI Lactation Consultant (Non-RN) · Ozark, AL

NPI 1346905007 · NPPES record last updated Jan 28, 2024

Key facts

NPI
1346905007
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
License
L-307238
Practice address
441 Mary McClendon Rd
Ozark, AL 36360-8348
Phone
(334) 709-0761
NPI assigned
Nov 7, 2021
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

State licenses

LicenseStateTypeSpecialty
327448MAMDCounselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 327448 MA
Lactation Consultant (Non-RN) 174N00000X L-307238 Yes

Addresses

Primary practice location

441 Mary McClendon Rd
Ozark, AL 36360-8348

Mailing address

441 Mary McClendon Rd
Ozark, AL 36360-8348
Phone (334) 709-0761

Other names

  • Jessica Danielle Wilson Former name

Other providers in Ozark, AL

All providers in Ozark, AL · Lactation Consultant (Non-RN) in Alabama

Sources for this page

Verify at the official NPI Registry.