Jenna Lynn Coughlin, RN,IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN9207717 Issued in FL

Practice address

706 Southern CT
Gulf Breeze, FL 32561-4520

Phone

(850) 501-6983

NPI assigned

Aug 2, 2019

Last updated

Dec 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1447805924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 SOUTHERN CT",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614520",
            "telephone_number": "850-501-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 SOUTHERN CT",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614520",
            "telephone_number": "850-501-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "credential": "RN,IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "RN9207717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jenna@nbpensacola.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "706 Southern Ct",
            "city": "Gulf Breeze",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325614520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Cooke, DO
• Coralcrestnutrition LLC
• Lori Cornwell, NP
• Misty Cortes-Thomas, OTR/L
• Nicole Cotlar
• Jenny Marie Craft, R.N., F.C.P.
• Deann Delaney Crain, LMHC
• Katherine Seipel Crawford, MD
• Matt Creamer, DPT
• Fallon Crews, APRN

• Lactation Consultant (Registered Nurse) in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Lactation Consultant (Registered Nurse) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.