Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE TYSON, RN, IBCLC
Active Sole ProprietorJACQUELINE TYSON, RN, IBCLC is a Lactation Consultant Nurse healthcare provider located in WENDELL, North Carolina. NPI 1831053099 is currently active in the NPPES registry. Verify at CMS.
Lactation Consultant Nurse · WENDELL, NC
Registration Details
- NPI Number
- 1831053099
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2025 (0.67752681670434 yrs)
- Last Updated
- Dec 12, 2025
- License
-
L-317528 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
613 NEMESIA DRWENDELL, NC, 275913229Browse NC providers · Browse ZIP 27591
- Phone
- 9192800451
- Primary Specialty
-
Lactation Consultant Nurse
163WL0100X
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.