Individual provider · Type 1 NPI
Jacqueline Tyson, RN, IBCLC
Lactation Consultant (Registered Nurse) · Wendell, NC
NPI number
1831053099
Active
Practice location
613 Nemesia Dr
Wendell, NC 27591-3229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | L-317528 (NC) |
Lactation Consultant (Registered Nurse): Definition to come...
About NPI 1831053099
Jacqueline Tyson, RN, IBCLC's National Provider Identifier is 1831053099, issued on Dec 12, 2025. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Wendell, NC. The record was last updated on Dec 12, 2025.