Individual provider · Type 1 NPI
Jessica J. Tang, FNP-BC, IBCLC
Lactation Consultant (Registered Nurse) · Newton, MA
NPI number
1104553395
Active
Practice location
112 Warren St
Newton, MA 02459-2065
Fax (818) 724-7704
Mailing address
PO Box 3158
Portland, OR 97208-3158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | L-314297 (OR) |
| Family Nurse Practitioner | 363LF0000X | 10000143 (OR) |
Lactation Consultant (Registered Nurse): Definition to come...
About NPI 1104553395
Jessica J. Tang, FNP-BC, IBCLC's National Provider Identifier is 1104553395, issued on Aug 7, 2022. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Newton, MA. The record was last updated on Jul 8, 2025.