Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1154937399 |
---|---|
Provider Name | Jade Morrison- Newkirk |
First Address | Clifton, NJ 07013-3945 |
Second Address | Clifton, NJ 07013-3945 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2020 |
Last Update Date | 22/09/2020 |