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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JESSICA BRUNOT BOULDIN, CLC, CD

Active Sole Proprietor

MRS. JESSICA BRUNOT BOULDIN, CLC, CD is a Lactation Consultant healthcare provider located in WINCHESTER, Virginia. NPI 1174223358 is currently active in the NPPES registry. Verify at CMS.

Lactation Consultant · WINCHESTER, VA

Registration Details

NPI Number
1174223358
Provider Type
Individual
Gender
Female
NPI Issued
Mar 7, 2023 (3.456758641418 yrs)
Last Updated
Dec 20, 2023
License
351584 (VA)
Sole Proprietor
Yes

Practice Information

Address
102 APACHE TRAIL
WINCHESTER, VA, 226021300
Browse VA providers · Browse ZIP 22602
Phone
5402228700
Primary Specialty
Lactation Consultant
174N00000X
Additional Specialty
Lactation Consultant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.