Individual provider · Type 1 NPI

Taylor Ricketts, RN, IBCLC

Lactation Consultant (Registered Nurse) · Mooresville, NC

NPI number 1043177686 Active

Practice location

246 Johnson Dairy Rd
Mooresville, NC 28115-9780

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) Primary 163WL0100X322548 (NC)

Lactation Consultant (Registered Nurse): Definition to come...

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About NPI 1043177686

Taylor Ricketts, RN, IBCLC's National Provider Identifier is 1043177686, issued on Jan 6, 2026. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Mooresville, NC. The record was last updated on Jan 6, 2026.