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

JESSICA RAE TANGEN, IBCLC

Active Sole Proprietor

JESSICA RAE TANGEN, IBCLC is a Lactation Consultant healthcare provider located in HUDSON, Wisconsin. NPI 1649710732 is currently active in the NPPES registry. Verify at CMS.

Lactation Consultant · HUDSON, WI

Registration Details

NPI Number
1649710732
Provider Type
Individual
Gender
Female
NPI Issued
Mar 8, 2017 (9.3991717947657 yrs)
Last Updated
Mar 8, 2017
License
L-49688
Sole Proprietor
Yes

Practice Information

Address
449 OVERLOOK PASS
HUDSON, WI, 540167547
Browse WI providers · Browse ZIP 54016
Phone
3202210443
Primary Specialty
Lactation Consultant
174N00000X
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.