Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-305909 |
NPI | 1366195398 |
---|---|
Provider Name | Ashley Taylor Jacobs |
First Address | Durham, NC 27712-8964 |
Second Address | Durham, NC 27713-6289 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2022 |
Last Update Date | 31/01/2022 |