Individual provider · Type 1 NPI

Jordan King

Lactation Consultant (Registered Nurse) · St. Louis, MO

NPI number 1124829833 Active

Practice location

6420 Clayton Rd
St. Louis, MO 63117-1811

Mailing address

1157 N Moore St
Waterloo, IL 62298-5409

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) Primary 163WL0100X2015036804 (MO)

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

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About NPI 1124829833

Jordan King's National Provider Identifier is 1124829833, issued on Mar 20, 2025. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in St. Louis, MO. The record was last updated on Mar 20, 2025.