Priscilla Nichole Jackson, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

33300 Egypt LN Ste F400
Magnolia, TX 77354-2743

Phone

(281) 305-0411

NPI assigned

Jul 2, 2024

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bayou City Breastfeeding, LLC

  • Lactation Consultant (Registered Nurse)
  • Houston, TX
  • NPI 1376056085

  Lactation Consultant, Non-RN

  NPD

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1982440632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 WOODLAND HILLS DR # 205",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391403",
            "telephone_number": "713-377-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33300 EGYPT LN STE F400",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542743",
            "telephone_number": "281-305-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12777 Jones Rd Ste 440",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770704600",
            "country_code": "US",
            "telephone_number": "281-305-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "PRISCILLA",
        "middle_name": "NICHOLE",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Yates Jackson, P.A.
• Greta Olivia Jackson
• Kamryn Jackson, DDS
• Kellien Michelle Jackson
• Lindsey Jackson
• Volonda Sheredith Jackson
• Jessica Michelle Jaros, RCP, RRT-NPS
• Blair Jarvis
• Kristina Angela Jasso-Lopez, PHARMD
• Jessica Jenkins

• Lactation Consultant (Non-RN) in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Lactation Consultant (Non-RN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.