Individual provider · Type 1 NPI
Jacqueline Severson, RN, BSN, IBCLC
Lactation Consultant (Registered Nurse) · Phoenix, AZ
NPI number
1689442402
Active
Practice location
14040 N Cave Creek Rd
Phoenix, AZ 85022-6117
Fax (623) 806-8655
Mailing address
3002 N 70th St Unit 209
Scottsdale, AZ 85251-6339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | L-87868 (AZ) |
Lactation Consultant (Registered Nurse): Definition to come...
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About NPI 1689442402
Jacqueline Severson, RN, BSN, IBCLC's National Provider Identifier is 1689442402, issued on Dec 12, 2023. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 12, 2023.