Jessica Buckler, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

13241 Bartram Park Blvd Unit 217
Jacksonville, FL 32258-5233

Phone

(904) 723-4078

Fax

(904) 674-2313

NPI assigned

Nov 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1972045003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 217",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585233",
            "telephone_number": "904-723-4078",
            "fax_number": "904-674-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 217",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585233",
            "telephone_number": "904-723-4078",
            "fax_number": "904-674-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLER",
        "first_name": "JESSICA",
        "credential": "CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Sue Buckallew, ARNP
• Alison Buckel
• Paul Michael Bucking, DMD, MD
• Cheryl Oamil Buckingham, PT
• William Buckingham, M.D.
• Conner Buckles, DC
• Jennifer Ann Bucklew, B.S
• Amy Anne Buckley, MSW
• Bernadette Buckley, PHD, ATC
• Jami Lea Gann Buckley, MD

• Lactation Consultant (Non-RN) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Lactation Consultant (Non-RN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.