Jayme Nicole Bolander
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Estero, FL
NPI 1528772555 · NPPES record last updated Jan 13, 2023
Key facts
- NPI
- 1528772555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- L-309105 (FL)
- Practice address
- 10600 Chevrolet Way Ste 10517473
Estero, FL 33928-4421 - Phone
- (813) 291-4695
- NPI assigned
- Jan 13, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-309105 | FL | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Lactation Center | Lactation Consultant | Current |
Accepting new patients |
Locations
10600 Chevrolet Way
Ste 105
Estero, FL 33928
Phone (772) 260-4224
10600 Chevrolet Way
Ste 10517473
Estero, FL 33928
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) |
163WL0100X | L-309105 | FL | Yes |
Addresses
Primary practice location
10600 Chevrolet Way Ste 10517473
Estero, FL 33928-4421
Mailing address
17473 Ashcomb Way
Estero, FL 33928-6517
Phone (813) 291-4695
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | thrivelactationcenter.com | Direct |
Other providers in Estero, FL
- Kevin Birchfield
- Trudi-Ann Blackellar
- Bloom Therapeutics LLC
- BNT Care Dynamics LLC
- Elizabeth Joyce Bogaty
- Kristen Elizabeth Bolomey
- Eliana Bonaguro
- Bonita Community Health Center Inc
- Jeffrey Book
- Scott Allen Booth
All providers in Estero, FL · Lactation Consultant (Registered Nurse) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2023. 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.