Individual provider · Type 1 NPI
Courtney Stallworth, BSN RN IBCLC
Lactation Consultant (Registered Nurse) · Loganville, GA
NPI number
1417728684
Active
Practice location
935 Old Loganville Rd SW, Suite B
Loganville, GA 30052
Mailing address
113 S. Perry Street, Suite 206 #9313
Lawrenceville, GA 30046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | 201879 (TN) |
Lactation Consultant (Registered Nurse): Definition to come...
Another provider at this address
Other lactation consultant (registered nurse) providers in Loganville
About NPI 1417728684
Courtney Stallworth, BSN RN IBCLC's National Provider Identifier is 1417728684, issued on Jan 15, 2024. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Loganville, GA. The record was last updated on Oct 9, 2026.