Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 11169577 | AK |
NPI | 1336495142 |
---|---|
Provider Name | Jessica M Harper |
First Address | Anchorage, AK 99501-3569 |
Second Address | Anchorage, AK 99501-3569 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2012 |
Last Update Date | 05/02/2021 |