Jacquelynne Marie Keller
Lactation Consultant
200 S Ryan Dr Apt 7203
Red Oak
, Texas 75154-4270
Jacquelynne Marie Keller
Lactation Consultant
200 S Ryan Dr Apt 7203
Red Oak
, Texas 75154-4270
(469) 337-5097
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About
Features
Specialties
- Lactation Consultant
Languages spoken
- English
Location
First Address
- Jacquelynne Marie Keller
- 200 S Ryan Dr Apt 7203
- Red Oak, TX
- Zip : 75154-4270
- Phone : (469) 337-5097
Second Address
- Jacquelynne Marie Keller
- 200 S Ryan Dr Apt 7203
- Red Oak, TX
- Zip : 75154-4270
- Phone : (469) 337-5097
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 174N00000X | Lactation Consultant |
National Provider Identifier
| NPI | 1184121444 |
|---|---|
| Provider Name | Jacquelynne Marie Keller |
| First Address | Red Oak, TX 75154-4270 |
| Second Address | Red Oak, TX 75154-4270 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2018 |
| Last Update Date | 12/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.