Individual provider Active NPI

Jennifer Leigh Jensen, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Hillsborough, NC
National Provider Identifier
1558178707
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
298430 Issued in NC
Practice address
1605 Eno Ridge Dr
Hillsborough, NC 27278-8070
Phone
(410) 972-1586
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 298430 NC Primary

Addresses

Primary practice location

1605 Eno Ridge Dr
Hillsborough, NC 27278-8070

Mailing address

1605 Eno Ridge Dr
Hillsborough, NC 27278-8070
Phone (410) 972-1586

Other practice location 1

1621 W Carroll Ave
Chicago, IL 60612-2501
Phone (888) 231-8443

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
298430NCMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1558178707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 ENO RIDGE DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788070",
            "telephone_number": "410-972-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 ENO RIDGE DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788070",
            "telephone_number": "410-972-1586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1621 W Carroll Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606122501",
            "country_code": "US",
            "telephone_number": "888-231-8443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NC",
            "license": "298430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.