Individual provider · Type 1 NPI

Jessica Rachelle Broom, OTR

Lactation Consultant (Non-RN) · Newark, TX

NPI number 1962745364 Active

Practice location

14517 Meadowland Cir
Newark, TX 76071-9103

Specialties and licenses

TaxonomyCodeLicense
Pediatric Occupational Therapist 225XP0200X119420 (TX)
Lactation Consultant (Non-RN) Primary 174N00000XNone listed

Lactation Consultant (Non-RN): An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.

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About NPI 1962745364

Jessica Rachelle Broom, OTR's National Provider Identifier is 1962745364, issued on Apr 3, 2013. The primary taxonomy on file is Lactation Consultant (Non-RN) (174N00000X), and the practice location is in Newark, TX. The record was last updated on Sep 15, 2026.